Organization
CONCERTO GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMON MEYSTEL (CHIEF EXECUTIVE OFFICER)
(847) 233-1200
Entity
Organization
Contact information
Practice address
1790 MULKEY RD STE 5B, AUSTELL, GA 30106-1122
(847) 233-1200
Mailing address
4600 W TOUHY AVE STE 100, LINCOLNWOOD, IL 60712-1606
(847) 443-1228
(847) 972-1016
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
02/25/2022
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