Symphony Oswego, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SYMPHONY OSWEGO, LLC

Practice address

4390 Route 71
Oswego, IL 60543-9866

Phone

(630) 554-1001

NPI assigned

Jan 21, 2016

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

Manager of the Manager

Phone

(847) 933-2600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1790142768",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439866",
            "telephone_number": "630-554-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMPHONY OSWEGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER OF THE MANAGER",
        "authorized_official_telephone_number": "847-933-2600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "14-6034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sukoon Services LLC
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• Symphony Oswego LLC
• Stephanie Tarmann
• Elizabeth A. Taylor, PT, DPT
• Kelly Taylor, LMT
• Yasmine Teague, PBT
• Team Rehab Physical Therapy PC

• Skilled Nursing Facility in Oswego, IL
• Providers in Oswego, 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 Jan 21, 2016; 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.