Provider Demographics
NPI:1902540511
Name:SYNAPSE HEALTH, INC.
Entity Type:Organization
Organization Name:SYNAPSE HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:PERL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-336-9363
Mailing Address - Street 1:1603 ORRINGTON AVE STE LL004
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3841
Mailing Address - Country:US
Mailing Address - Phone:847-737-4455
Mailing Address - Fax:
Practice Address - Street 1:3755 CHASE AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-4008
Practice Address - Country:US
Practice Address - Phone:847-737-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier