Organization Active NPI

Synergy Institute S.C.

  • Chiropractor
  • Ottawa, IL
National Provider Identifier
1114158557
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
042.617777 Issued in IL
Legal business name
SYNERGY INSTITUTE S.C.
Practice address
601 W Norris Dr
Suite B
Ottawa, IL 61350-1381
Phone
(815) 431-1800
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer Wise, D.C.
Title
Owner
Phone
(630) 355-8022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 042.617777 IL Primary

Addresses

Primary practice location

601 W Norris Dr
Suite B
Ottawa, IL 61350-1381

Mailing address

2011 S Washington St
Naperville, IL 60565-1368
Phone (630) 355-8022

National Provider Directory

National Provider Directory
Tax ID family
Synergy Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2011 S Washington St
Naperville, IL 60565
Phone (360) 355-8032

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1114158557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651368",
            "telephone_number": "630-355-8022",
            "fax_number": "630-355-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W NORRIS DR",
            "address_2": "SUITE B",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501381",
            "telephone_number": "815-431-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY INSTITUTE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-355-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042.617777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.