Provider Demographics
| NPI: | 1366711095 |
|---|---|
| Name: | SINAPSIS LLC |
| Entity type: | Organization |
| Organization Name: | SINAPSIS LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | IGOR |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | LOCHERT |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 312-420-8414 |
| Mailing Address - Street 1: | 5934 W EASTWOOD AVE |
| Mailing Address - Street 2: | 3RD FLOOR |
| Mailing Address - City: | CHICAGO |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60630-3105 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 312-420-8414 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 5934 W EASTWOOD AVE |
| Practice Address - Street 2: | 3RD FLOOR |
| Practice Address - City: | CHICAGO |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60630-3105 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 312-420-8414 |
| Practice Address - Fax: | 773-227-7799 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2011-12-27 |
| Last Update Date: | 2011-12-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 111NR0400X | Chiropractic Providers | Chiropractor | Rehabilitation | Group - Multi-Specialty |
| No | 224Y00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Clinical Exercise Physiologist | Group - Multi-Specialty | |
| No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | Group - Multi-Specialty |
| No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Multi-Specialty |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
| No | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer | Group - Multi-Specialty |
| No | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Multi-Specialty |
