NPIMap

Organization Active NPI

Anette K. Mnabhi D.O. P.C.

Doing business as Synergy Health Care

  • Neuromusculoskeletal Medicine & OMM Physician
  • Montgomery, IL
National Provider Identifier
1164604245
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
ANETTE K. MNABHI D.O. P.C.
Doing business as
Synergy Health Care
Practice address
115 N Main St
Montgomery, IL 60538-1298
Phone
(630) 801-8773
Fax
(630) 264-6734
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Anette K Mnabhi, D.O.NPI 1114060548
Title
President
Phone
(630) 801-8773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X IL Primary

Addresses

Primary practice location

115 N Main St
Montgomery, IL 60538-1298

Mailing address

115 N Main St
Montgomery, IL 60538-1298
Phone (630) 801-8773

Other identifiers 1

IdentifierTypeStateIssuer
4727796OtherILBLUE CROSS

Other names 1

  • Synergy Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

115 N Main St
Montgomery, IL 60538
Phone (630) 301-8773

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1164604245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381298",
            "telephone_number": "630-801-8773",
            "fax_number": "630-264-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381298",
            "telephone_number": "630-801-8773",
            "fax_number": "630-264-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANETTE K. MNABHI D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MNABHI",
        "authorized_official_first_name": "ANETTE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-801-8773",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4727796",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.