| Synergenx Health - Burr Ridge Llc | |
|
11s250 S Jackson St #102 Burr Ridge IL 60527-6891 | |
| (281) 970-5900 | |
| (281) 970-5913 |
| Full Name | Synergenx Health - Burr Ridge Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11s250 S Jackson St, Burr Ridge, Illinois |
| Authorized Official Name and Position | Welton Wayne Wilson (CEO) |
| Authorized Official Contact | 2814298522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergenx Health - Burr Ridge Llc 16131 N Eldridge Pkwy Ste 100 Tomball TX 77377-9130 Ph: (713) 204-3818 | Synergenx Health - Burr Ridge Llc 11s250 S Jackson St #102 Burr Ridge IL 60527-6891 Ph: (281) 970-5900 |
| NPI Number | 1396270674 |
|---|---|
| Provider Enumeration Date | 04/25/2017 |
| Last Update Date | 11/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396270674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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