Organization
SYNERGY HEALTHCARE PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA BARKER (BILLING ADMINISTRATOR)
(309) 688-4484
Entity
Organization
Contact information
Practice address
350 CIMMERON DR, EAST PEORIA, IL 61611-7511
(309) 688-4484
(309) 688-4485
Mailing address
350 CIMMERON DR, EAST PEORIA, IL 61611-7511
(309) 688-4484
(309) 688-4485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005566
IL
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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