Organization Active NPI

Barry M Summers,MD,SC

  • Specialist
  • Chicago, IL
National Provider Identifier
1003097619
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036083079 Issued in IL
Legal business name
BARRY M SUMMERS,MD,SC
Practice address
3000 N Halsted St Ste 401
Chicago, IL 60657-9268
Phone
(773) 935-5985
Fax
(773) 935-5478
NPI assigned
Nov 26, 2007
Organization subpart
Yes
Parent organization
CHICAGOLAND COMPLETE HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle L Jarka
Title
Practice Manager
Phone
(773) 935-5985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036083079 IL Primary

Addresses

Primary practice location

3000 N Halsted St Ste 401
Chicago, IL 60657-9268

Mailing address

3000 N Halsted St Ste 401
Chicago, IL 60657-9268
Phone (773) 935-5985

Other names 1

  • Chicagoland Complete Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914001228 IL Part B Supplier - Clinic/Group Practice 1557338902 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Part of
Chicagoland Complete Healthcare LLC

Locations

3000 N Halsted St
Ste 401
Chicago, IL 60657
Phone (773) 296-3636

2233 W Division St
Ste 7
Chicago, IL 60622
Phone (773) 935-5985

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1003097619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579268",
            "telephone_number": "773-935-5985",
            "fax_number": "773-935-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579268",
            "telephone_number": "773-935-5985",
            "fax_number": "773-935-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY M SUMMERS,MD,SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGOLAND COMPLETE HEALTHCARE LLC",
        "enumeration_date": "2007-11-26",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "JARKA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "773-935-5985"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036083079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicagoland Complete Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.