Organization Active NPI

Synergy Institute SC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1861536393
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009021 Issued in IL
Legal business name
SYNERGY INSTITUTE SC
Practice address
4931 S Route 59
Unit 121
Naperville, IL 60564-5705
Phone
(630) 355-8022
Fax
(630) 355-8032
NPI assigned
Feb 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Jennifer L. Wise, DC
Title
Owner
Phone
(630) 355-8022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038009021 IL
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038-009021 IL Primary

Addresses

Primary practice location

4931 S Route 59
Unit 121
Naperville, IL 60564-5705

Mailing address

4931 S Route 59
Unit 121
Naperville, IL 60564-5705
Phone (630) 355-8022

National Provider Directory

National Provider Directory

Locations

4931 S Route 59
Ste 121
Naperville, IL 60564
Phone (630) 355-8022

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1861536393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 S ROUTE 59",
            "address_2": "UNIT 121",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645705",
            "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": "4931 S ROUTE 59",
            "address_2": "UNIT 121",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645705",
            "telephone_number": "630-355-8022",
            "fax_number": "630-355-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY INSTITUTE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-355-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009021",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.