| Synergy Telemed | |
|
1 Westbrook Corporate Ctr Ste 300 Westchester IL 60154-5709 | |
| (800) 460-9633 | |
| (630) 358-6690 |
| Full Name | Synergy Telemed |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1 Westbrook Corporate Ctr Ste 300, Westchester, Illinois |
| Authorized Official Name and Position | Doris Ngozi Nwoko (CEO) |
| Authorized Official Contact | 3125934127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Telemed 14130 S Hilltop Ln Unit 204 Lockport IL 60441-4982 Ph: (312) 593-4127 | Synergy Telemed 1 Westbrook Corporate Ctr Ste 300 Westchester IL 60154-5709 Ph: (800) 460-9633 |
| NPI Number | 1114671492 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114671492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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