Organization
SYMPHONY IVY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHARLES BRAUN (CORPORATE CONTROLLER)
(847) 745-6219
Entity
Organization
Contact information
Practice address
1366 W FULLERTON AVE, CHICAGO, IL 60614-2129
(773) 472-8400
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(847) 745-6219
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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