Organization
CONCERTO PENNSYLVANIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHIMON MEYSTEL (CHIEF EXECUTIVE OFFICER AND MANAGER)
(847) 443-1228
Entity
Organization
Contact information
Practice address
8200 FLOURTOWN AVE STE 3, WYNDMOOR, PA 19038-7969
(847) 233-1200
(847) 443-1328
Mailing address
4600 W TOUHY AVE STE 100, LINCOLNWOOD, IL 60712-1606
(847) 443-1228
(847) 443-1328
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2020
Last updated
02/11/2021
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