NPIMap

Organization Active NPI

Concerto Home Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lincolnwood, IL
National Provider Identifier
1366844904
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CONCERTO HOME DIALYSIS LLC
Practice address
4600 W Touhy Ave
Suite 100
Lincolnwood, IL 60712-1630
Phone
(847) 233-1202
Fax
(847) 233-1302
NPI assigned
Sep 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

4600 W Touhy Ave
Suite 100
Lincolnwood, IL 60712-1630

Mailing address

4600 W Touhy Ave
Suite 100
Lincolnwood, IL 60712-1630
Phone (847) 233-1202

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1366844904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W TOUHY AVE",
            "address_2": "SUITE 100",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121630",
            "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",
            "address_2": "SUITE 100",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121630",
            "telephone_number": "847-233-1202",
            "fax_number": "847-233-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTO HOME DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2017-04-25",
        "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": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.