Summit Medical LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SUMMIT MEDICAL LLC

Practice address

250 Tall Trees Dr
Barrington, IL 60010-3559

Phone

(773) 317-4888

NPI assigned

Oct 21, 2022

Last updated

Nov 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ed Bauer

Title

Owner

Phone

(773) 317-4888

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1417674318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600110032",
            "telephone_number": "773-317-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 TALL TREES DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103559",
            "telephone_number": "773-317-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2023-11-29",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-317-4888"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "?#[]@!$&'()*+,;=%",
            "affiliation": "N",
            "address_1": "250 Tall Trees Dr",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600103559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace Isabell Stevens
• Mary Elizabeth Strain, PHD
• Brenda Streicher
• Paul J Sullivan, PT
• Natalie Sum, LCPC
• Robin Jeanette Svoboda, OTR
• Andrea L Swanson, PT, DPT
• Bailey Swanson, PA-C
• Natalie Miller Swanson
• David Swanston

• Prosthetic/Orthotic Supplier in Barrington, IL
• Providers in Barrington, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.