NPIMap

Organization Active NPI

Synergy Center for Integrative Health PC

  • Chiropractor
  • Peoria, IL
National Provider Identifier
1760610372
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008662 Issued in IL
Legal business name
SYNERGY CENTER FOR INTEGRATIVE HEALTH PC
Practice address
3100 N Dries LN Ste 303
Peoria, IL 61604-1265
Phone
(309) 681-8520
Fax
(309) 681-8528
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Randall L Hoyle
Title
Business Manager
Phone
(309) 681-8520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038008662 IL Primary

Addresses

Primary practice location

3100 N Dries LN Ste 303
Peoria, IL 61604-1265

Mailing address

3100 N Dries LN Ste 303
Peoria, IL 61604-1265
Phone (309) 681-8520

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1760610372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N DRIES LN STE 303",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041265",
            "telephone_number": "309-681-8520",
            "fax_number": "309-681-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N DRIES LN STE 303",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041265",
            "telephone_number": "309-681-8520",
            "fax_number": "309-681-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CENTER FOR INTEGRATIVE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "HOYLE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "309-681-8520"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.