NPI 1518335728
Symphony Ivy LLC
Practice location
- Address
- 1366 W Fullerton Ave, Chicago, IL 60614-2129
- Phone
- (773) 472-8400
- Mailing address
- 7257 N Lincoln Ave, Lincolnwood, IL 60712-1810
Authorised official
- Name
- Michael Charles Braun
- Title
- Corporate Controller
- Phone
- (847) 745-6219
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1518335728
- Entity type
- Organization
- NPI issued
- 3 Sep 2015
- Record last updated
- 3 Sep 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.