Provider Demographics
NPI:1629604145
Name:SYNAPTYX PHYSICAL MEDICINE PLLC
Entity Type:Organization
Organization Name:SYNAPTYX PHYSICAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:POKRYWKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-267-5433
Mailing Address - Street 1:725 N PINECREST RD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1151
Mailing Address - Country:US
Mailing Address - Phone:630-267-5433
Mailing Address - Fax:
Practice Address - Street 1:800 E ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4735
Practice Address - Country:US
Practice Address - Phone:630-267-5433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center