Active NPI
Barry M Summers,MD,SC
- Specialist
- Chicago, IL
National Provider Identifier
1003097619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036083079
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1518379700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Chicago, IL
- NPI 1326117383
-
- Surgery Physician
- Chicago, IL
- NPI 1164525275
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.