SYNERGY INTEGRATIVE HEADACHE CENTER LTD
NPI 1568087583
Pain Medicine - Pain Medicine in Northfield, IL

Q: What is Synergy Integrative Headache Center Ltd's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Active since June 16, 2020CLIA 14D2307624 · Waiver

191 WAUKEGAN RD STE 300, NORTHFIELD, IL 60093(773) 948-7557 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2020, Jul 20, 2020, Jun 16, 2020 (3 updates tracked since 2020).

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About Synergy Integrative Headache Center Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYNERGY INTEGRATIVE HEADACHE CENTER LTD (NPI 1568087583) is a healthcare organization registered as a pain medicine in Northfield, Illinois and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Alexander Feoktistov, President, as its authorized official.

NPPES Registry Identity

NPI1568087583

Entity TypeOrganization

Primary Taxonomy208VP0000X

Legal Business NameSYNERGY INTEGRATIVE HEADACHE CENTER LTD

Location Address191 WAUKEGAN RD STE 300Northfield, IL 60093-2744

Mailing Address191 Waukegan Rd Ste 300Northfield, IL 60093-2744 · (773) 948-7557 · Fax (773) 948-7558

Phone(773) 948-7557

Organization SubpartNo

Authorized OfficialAlexander FeoktistovPresident · (773) 729-0835

Enumeration DateJune 16, 2020

Last NPPES UpdateSeptember 2, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2020

✔ NPI 1568087583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

191 WAUKEGAN RD STE 300, Northfield, IL 60093

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Synergy Integrative Headache Center Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Synergy Integrative Headache Center Ltd, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Alexander Feoktistov, MD

Internal Medicine

NPI 1003143801

191 WAUKEGAN RD STE 300
Northfield, IL 60093

(773) 948-7557

✔ PECOSSame address

Jessica Horwitz

Nurse Practitioner

NPI 1649758426

1460 N HALSTED ST STE 501
Chicago, IL 60642

(773) 388-6390

✔ PECOS15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2307624

Synergy Intergrative Headache Center, Ltd · Northfield, IL

Active · expires Jul 10, 2028

CLIA Number14D2307624

Laboratory TypePhysician Office

Certificate Effective DateJuly 11, 2026

Certificate Expiration DateJuly 10, 2028

Laboratory DirectorAlexander Feoktistov

Laboratory Phone(773) 948-7557

Laboratory LocationSynergy Intergrative Headache Center, Ltd191 Waukegan Rd - Ste 300, Northfield, IL 60093

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Synergy Integrative Headache Center Ltd's NPI number?

The NPI number for Synergy Integrative Headache Center Ltd is 1568087583. It was assigned to this organization in the NPPES registry on June 16, 2020.

Where is Synergy Integrative Headache Center Ltd located?

Synergy Integrative Headache Center Ltd is located at 191 Waukegan Rd Ste 300, Northfield, IL 60093. The listed phone number is (773) 948-7557.

What is Synergy Integrative Headache Center Ltd's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Synergy Integrative Headache Center Ltd enrolled in Medicare?

Yes. Synergy Integrative Headache Center Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Synergy Integrative Headache Center Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Synergy Integrative Headache Center Ltd, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Synergy Integrative Headache Center Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2307624) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Synergy Integrative Headache Center Ltd was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.