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SYNERGY HEALTHCARE PHYSICAL MEDICINE SC NPI 1730432675


NPI Information

NPI: 1730432675
Provider Name: SYNERGY HEALTHCARE PHYSICAL MEDICINE SC

Other Name: SYNERGY HEALTHCARE PHYSICAL MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
350 CIMMERON DRIVE
EAST PEORIA, IL
ZIP 61611
Phone: (309) 688-4484
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SYNERGY HEALTHCARE PHYSICAL MEDICINE SC is a family medicine in East Peoria, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SYNERGY HEALTHCARE PHYSICAL MEDICINE SC NPI is 1730432675. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Synergy Healthcare Physical Medicine.

The provider's business location address is:

350 CIMMERON DRIVE
EAST PEORIA, IL
ZIP 61611
Phone: (309) 688-4484
Fax: (309) 688-4485

The provider's authorized official is Christina D Durbin .
The authorized official title is Owner and has the following contact phone number (309) 688-4484.

The enumeration date for this NPI number is 10/16/2012 and was last updated on 9/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038-008925ILLINOISNo
2207Q00000XFamily Medicine036-074050ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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