Organization
SUMMIT MEDICAL CENTER S.C.
Active
Other names
Summit Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT SHAH MD (PRESIDENT)
(708) 496-9549
Entity
Organization
Contact information
Practice address
6252 S ARCHER RD, SUMMIT, IL 60501-1720
(708) 496-9549
(708) 728-9429
Mailing address
6252 S ARCHER RD, SUMMIT, IL 60501-1720
(708) 496-9549
(708) 728-9429
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036086195
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086195
—
IL
Enumeration date
03/18/2008
Last updated
08/29/2022
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