Individual
DR. BARRY M. SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 N HALSTED ST STE 401, CHICAGO, IL 60657-9268
(773) 935-5985
(773) 935-5478
Mailing address
3000 N HALSTED ST STE 401, CHICAGO, IL 60657-9268
(773) 935-5985
(773) 935-5478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036083079
IL
207Q00000X
Family Medicine Physician
036083079
IL
208600000X
Surgery Physician
036-135695
IL
2086S0129X
Vascular Surgery Physician
036-135695
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083079
—
IL
01
—
1621416
BC/BS #
IL
01
—
36416906604691
ADVOCATE AHC/HUMANA
IL
01
—
36416906625638
ADVOCATE HEALTH
IL
Enumeration date
11/06/2006
Last updated
09/28/2022
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