Provider Demographics
NPI:1568729929
Name:SYNERGY WELLCARE INC
Entity Type:Organization
Organization Name:SYNERGY WELLCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SNIGDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-953-5100
Mailing Address - Street 1:2200 S MAIN ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5334
Mailing Address - Country:US
Mailing Address - Phone:630-953-5100
Mailing Address - Fax:630-953-5110
Practice Address - Street 1:2200 S MAIN ST
Practice Address - Street 2:SUITE 309
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5334
Practice Address - Country:US
Practice Address - Phone:630-953-5100
Practice Address - Fax:630-953-5110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty