Provider Demographics
NPI:1104193465
Name:SYMPHONY MCKINLEY LLC
Entity Type:Organization
Organization Name:SYMPHONY MCKINLEY LLC
Other - Org Name:MCKINLEY COURT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ATTORNEY
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-521-2467
Mailing Address - Street 1:500 W MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526-3281
Mailing Address - Country:US
Mailing Address - Phone:217-875-0020
Mailing Address - Fax:217-875-0647
Practice Address - Street 1:500 W MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526-3281
Practice Address - Country:US
Practice Address - Phone:217-875-0020
Practice Address - Fax:217-875-0647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0042499314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL145965Medicare Oscar/Certification