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NPI Code Detail

MEDICARE: SYM PALOS PARK SNF HEALTHCARE LLC

MEDICARE: SYM PALOS PARK SNF HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1306500384
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYM PALOS PARK SNF HEALTHCARE LLC
Provider Business Mailing Address
First Line : 7257 N LINCOLN AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-1810
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12220 WILL COOK RD
Second Line :
City : PALOS PARK
State : IL
Zip : 60464-7332
Country : US
Telephone Number : 630-257-2291
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : DAVID HARTMAN
Credential :
Telephone Number : 630-257-2291
Provider Enumeration Date : 10/26/2021
Last Update Date : 10/26/2021

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Directions to “SYM PALOS PARK SNF HEALTHCARE LLC ” Practice Location

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