Synergy Medical Associates

NPI 1174579627 - Internal Medicine - 207R00000X

NPI Details
NPI 1174579627
Enumeration Date 05/26/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KELLY KELLY
Position OWNER / PHYSICIAN
Phone (708) 389-2300
Fax
Practice Location
11600 S KEDZIE AVE
SUITE A
MERRIONETTE PARK IL, 60803-6302, US
Phone (708) 389-2300
Fax
Business Location
11600 S KEDZIE AVE
SUITE A
MERRIONETTE PARK IL, 60803-6302, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Synergy Medical Associates NPI is 1174579627, taxonomy code is 207R00000X Synergy Medical Associates physically located at 11600 S Kedzie Ave, Merrionette Park IL, 60803-6302. NPI Number 1033115704 has the healthcare provider type.

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1174579627 NPI number is provided on an as is basis without warranty of any kind. 1174579627 is maintained by the National Plan & Provider Enumeration System. The contents of Synergy Medical Associates are for informational purposes only.