Synergy Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SYNERGY MEDICAL ASSOCIATES

Practice address

11600 S Kedzie Ave
Suite a
Merrionette Park, IL 60803-6302

Phone

(708) 389-2300

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Vuong, MD

Title

Owner / Physician

Phone

(708) 389-2300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174579627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE",
            "address_2": "SUITE A",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE",
            "address_2": "SUITE A",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036302",
            "telephone_number": "708-389-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VUONG",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "708-389-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001634540",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelin Noel Spagnola, QMHP
• Ashley Staszak
• Clifton Shavar Stewart, RSA
• James Paul Sur, M.D.
• Lynda Gayle Swan-McClendon, LCSW
• Ula Tarabichi
• Kelly Tavormina
• Sean P Tierney, M.D.
• Village of Merrionette Park
• Vital Rehabilitation & Physical Therapy Inc

• Internal Medicine Physician in Merrionette Park, IL
• Providers in Merrionette Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.