Healthcare Provider Details

I. General information

NPI: 1114671492
Provider Name (Legal Business Name): SYNERGY BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WESTBROOK CORPORATE CTR STE 300
WESTCHESTER IL
60154-5709
US

IV. Provider business mailing address

1 WESTBROOK CORPORATE CTR STE 300
WESTCHESTER IL
60154-5709
US

V. Phone/Fax

Practice location:
  • Phone: 800-460-9633
  • Fax: 630-358-6690
Mailing address:
  • Phone: 331-684-0383
  • Fax: 331-684-0466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DORIS NWOKO
Title or Position: CEO
Credential: APN
Phone: 312-593-4127