Organization
SYMPHONY JACKSON SQUARE LLC
Active
Other names
Jackson Square Skilled Nursing & Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HARTMAN (AUTHORIZED OFFICIAL)
(847) 745-6212
Entity
Organization
Contact information
Practice address
5130 W JACKSON BLVD, CHICAGO, IL 60644-4332
(773) 921-8000
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
—
14-5661
MEDICARE ID
—
Enumeration date
05/13/2015
Last updated
09/15/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us