Mike Price
Individual provider Active NPI Counselor · Summit, IL
NPI 1639482144 · NPPES record last updated Jul 26, 2010
Key facts
- NPI
- 1639482144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 7420 Archer Ave
Summit, IL 60501-1218 - Phone
- (708) 745-5277
- Fax
- (708) 458-9177
- NPI assigned
- Jul 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pillars Community Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
7420 Archer Ave
Summit, IL 60501-1218
Mailing address
7420 Archer Ave
Summit, IL 60501-1218
Phone (708) 745-5277
Other providers in Summit, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.