Concerto Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

CONCERTO DIALYSIS LLC

Practice address

4600 W Touhy Ave
Lincolnwood, IL 60712-1606

Phone

(847) 233-1202

Fax

(847) 233-1302

NPI assigned

Dec 4, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shimon Meystel

Title

Ceo

Phone

(847) 233-1202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1144651993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W TOUHY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121606",
            "telephone_number": "847-233-1202",
            "fax_number": "847-233-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W TOUHY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121606",
            "telephone_number": "847-233-1202",
            "fax_number": "847-233-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTO DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-233-1202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Antoaneta L. Condurat
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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.