Organization
CHICAGOLAND COMPLETE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY SUMMERS MD (OWNER)
(708) 529-0355
Entity
Organization
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
207Q00000X
Family Medicine Physician
Primary
036125989
IL
207R00000X
Internal Medicine Physician
036125989
IL
207RS0010X
Sports Medicine (Internal Medicine) Physician
036125989
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125989
—
IL
Enumeration date
05/22/2014
Last updated
05/10/2018
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