Organization
CONCERTO MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHIMON MEYSTEL (CEO/ADMINISTRATOR)
(847) 233-1202
Entity
Organization
Contact information
Practice address
20 CRAIGTOWN RD STE 106, PORT DEPOSIT, MD 21904-1801
(847) 443-1228
(847) 443-1328
Mailing address
4600 W TOUHY AVE STE 100, LINCOLNWOOD, IL 60712-1603
(847) 443-1228
(847) 442-1328
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
05/03/2022
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