Provider Demographics
NPI:1598351785
Name:ONLYMED LLC
Entity type:Organization
Organization Name:ONLYMED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DO
Authorized Official - Prefix:DR
Authorized Official - First Name:BISHARA
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KHOURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:331-645-6029
Mailing Address - Street 1:53 SHEFFIELD LN
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2353
Mailing Address - Country:US
Mailing Address - Phone:331-645-6029
Mailing Address - Fax:312-500-1843
Practice Address - Street 1:911 N ELM ST STE 328
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3642
Practice Address - Country:US
Practice Address - Phone:630-228-9777
Practice Address - Fax:312-500-1843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-12
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty