Symphony Buffalo Grove LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SYMPHONY BUFFALO GROVE LLC

Doing business as

Symphony of Buffalo Grove

Practice address

150 Weiland Rd
Buffalo Grove, IL 60089-7047

Phone

(847) 465-0200

NPI assigned

May 13, 2015

Last updated

Sep 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Hartman

Title

Authorized Official

Phone

(847) 745-6212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Symphony of Buffalo Grove Doing business as

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1285012054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121810",
            "telephone_number": "847-745-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WEILAND RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600897047",
            "telephone_number": "847-465-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMPHONY BUFFALO GROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-745-6212"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "14-5819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symphony of Buffalo Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Morgan Sullivan, ATC
• Sunrise Buffalo Gove Assisted Living, LL (Sunrise of Buffalo Grove)
• Superior Dental, LTD. (dba Countryside Dental Ltd.)
• Ryan Swanson, DPT
• Ann Swayne
• Erwin George Szela Jr., M.D.
• Yousef Ebeid Tadros, MD
• Hiral P Tailor, DPT
• Erynn Jennifer Taitel, M.ED
• Keiko Talim

• Skilled Nursing Facility in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.