Active NPI
Daniel M Summerkamp, DC
- Chiropractor
- Lake in the Hills, IL
National Provider Identifier
1851623177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011777
- Practice address
- 4614 W. Algonquin Road
Lake in the Hills, IL 60156 - Phone
- (224) 858-4996
- Fax
- (224) 858-4072
- NPI assigned
- Feb 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011777 | IL | Primary |
Addresses
Primary practice location
4614 W. Algonquin Road
Lake in the Hills, IL 60156
Mailing address
19212 River Rd
Marengo, IL 60152-8512
Phone (815) 742-0596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12940 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 038011777 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1851623177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19212 RIVER RD",
"city": "MARENGO",
"state": "IL",
"postal_code": "601528512",
"telephone_number": "815-742-0596",
"fax_number": "815-455-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4614 W. ALGONQUIN ROAD",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "60156",
"telephone_number": "224-858-4996",
"fax_number": "224-858-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERKAMP",
"first_name": "DANIEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-11",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.