Individual
DR. DUSTIN MICHAEL SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
24012 W RENWICK RD, 204A, PLAINFIELD, IL 60544-8731
(815) 676-4688
(815) 676-4498
Mailing address
24012 W RENWICK RD, 204A, PLAINFIELD, IL 60544-8731
(815) 676-4688
(815) 676-4498
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009417
IL
Other
Enumeration date
03/24/2012
Last updated
11/29/2016
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