Summers Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SUMMERS CHIROPRACTIC PLLC

Practice address

884 Hillside Ave
Antioch, IL 60002-1226

Phone

(847) 395-1110

Fax

(847) 395-2630

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ty Anthony Summers, DCNPI 1962150136

Title

Doctor

Phone

(224) 545-6651

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Ty Summers, DC

  • Chiropractor
  • Antioch, IL
  • NPI 1962150136
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1295479830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE R",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "224-545-6651",
            "fax_number": "847-395-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 HILLSIDE AVE",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021226",
            "telephone_number": "847-395-1110",
            "fax_number": "847-395-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "224-545-6651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stone Labyrinth Counseling & Wellness, PLLC
• Jill A Stone, PT
• Larry V Stone, PT
• Kirsten Strange, COTA/L
• Marcellina Stuart, LCSW
• Ty Summers, DC
• Sara Jane Swanson, SLP
• Megan Szczepanski, MOT, OTR/L
• Trinh Tran, PHARMD
• Shelia Traylor, LCSW

• Chiropractor in Antioch, IL
• Providers in Antioch, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.