Provider Demographics
NPI:1891184164
Name:SYNERGY WELLNESS CHIROPRACTIC PC
Entity Type:Organization
Organization Name:SYNERGY WELLNESS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GILE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-372-5468
Mailing Address - Street 1:4256 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:STE 100
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1300
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4256 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:STE 100
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1300
Practice Address - Country:US
Practice Address - Phone:847-372-5468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-012753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty