Organization Active NPI

Synergy Institute SC

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1801930912
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SYNERGY INSTITUTE SC
Practice address
1669 Montgomery Rd
Suite 8
Aurora, IL 60504-8893
Phone
(630) 236-4876
Fax
(630) 236-4880
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

1669 Montgomery Rd
Suite 8
Aurora, IL 60504-8893

Mailing address

2011 S Washington St
Naperville, IL 60565-1368
Phone (630) 236-4876

National Provider Directory

National Provider Directory

Locations

1669 Montgomery Rd
Ste 8
Aurora, IL 60504
Phone (630) 236-4876

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801930912",
    "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": "630-236-4876",
            "fax_number": "630-236-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 MONTGOMERY RD",
            "address_2": "SUITE 8",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048893",
            "telephone_number": "630-236-4876",
            "fax_number": "630-236-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY INSTITUTE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-355-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.