Organization
SYNERGY INTEGRATIVE HEADACHE CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER FEOKTISTOV MD (PRESIDENT)
(773) 729-0835
Entity
Organization
Contact information
Practice address
191 WAUKEGAN RD STE 300, NORTHFIELD, IL 60093-2744
(773) 948-7557
Mailing address
191 WAUKEGAN RD STE 300, NORTHFIELD, IL 60093-2744
(773) 948-7557
(773) 948-7558
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
09/02/2020
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