Summers, Barry M.

Summers, Barry M. is an individual health care provider with primary practice located at 3000 N Halsted St Ste 401 , Chicago IL 60657-9268. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Summers, Barry M. can be contacted via phone (773) 935-5985.

Contact Information

Primary practice address
3000 N Halsted St Ste 401 Chicago IL 60657-9268
Fax: (773) 935-5478
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036083079 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-135695 Illinois
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036-135695 Illinois
Other Service Providers / Specialist 174400000X 036083079 Illinois

Profile Details

NPI number 1326117383
LBN Legal business name Summers, Barry M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Sep 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326117383 NPPES
Illinois Other 1621416 BC/BS #
Illinois Other 36416906625638 BC/BS #
Illinois MEDICAID 036083079 BC/BS #
Illinois Other 36416906604691 BC/BS #

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