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
Phone: (773) 935-5985
Fax: (773) 935-5478
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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