Organization
CONCERTO WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMON MEYSTEL (CEO)
(847) 443-1228
Entity
Organization
Contact information
Practice address
13905 W BURLEIGH RD, BROOKFIELD, WI 53005-3036
(262) 325-7724
(847) 443-1328
Mailing address
4600 W TOUHY AVE, #100, LINCOLNWOOD, IL 60712
(847) 233-1202
(847) 233-1302
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
11/15/2024
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