Organization
SYMPHONY BUFFALO GROVE LLC
Active
Other names
Symphony of Buffalo Grove
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HARTMAN (AUTHORIZED OFFICIAL)
(847) 745-6212
Entity
Organization
Contact information
Practice address
150 WEILAND RD, BUFFALO GROVE, IL 60089-7047
(847) 465-0200
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(847) 745-6212
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-5819
MEDICARE ID
—
Enumeration date
05/13/2015
Last updated
09/15/2015
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