Provider Demographics
NPI:1497291272
Name:SYNERGY ACUPUNCTURE & CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:SYNERGY ACUPUNCTURE & CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:WISE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-983-9608
Mailing Address - Street 1:4931 S ROUTE 59 STE 119
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-2692
Mailing Address - Country:US
Mailing Address - Phone:630-983-9608
Mailing Address - Fax:630-355-8032
Practice Address - Street 1:4931 S ROUTE 59 STE 119
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-2692
Practice Address - Country:US
Practice Address - Phone:630-983-9608
Practice Address - Fax:630-355-8032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty