NPIMap

Organization Active NPI

Synergy Rehabilitaion & Chiropractic

  • Chiropractor
  • Downers Grove, IL
National Provider Identifier
1891089652
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011758 Issued in IL
Legal business name
SYNERGY REHABILITAION & CHIROPRACTIC
Practice address
1048 Ogden Ave
Suite 110
Downers Grove, IL 60515-2894
Phone
(630) 322-9522
Fax
(630) 322-9515
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Dr. Kurt Brewer, D. C.
Title
Chiropractor
Phone
(630) 452-8657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011758 IL Primary

Addresses

Primary practice location

1048 Ogden Ave
Suite 110
Downers Grove, IL 60515-2894

Mailing address

1048 Ogden Ave
Suite 110
Downers Grove, IL 60515-2894
Phone (630) 322-9522

National Provider Directory

National Provider Directory

Locations

1048 Ogden Ave
Ste 110
Downers Grove, IL 60515
Phone (630) 322-9522

Practitioners & affiliated clinicians

Practitioners 2

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": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1891089652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 OGDEN AVE",
            "address_2": "SUITE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152894",
            "telephone_number": "630-322-9522",
            "fax_number": "630-322-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 OGDEN AVE",
            "address_2": "SUITE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152894",
            "telephone_number": "630-322-9522",
            "fax_number": "630-322-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY REHABILITAION & CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "630-452-8657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.