Active NPI
Summitsurg Procedure Center
- Medical Specialty Clinic/Center
- Elgin, IL
National Provider Identifier
1881757250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- SUMMITSURG PROCEDURE CENTER
- Practice address
- 431 Summit St
Elgin, IL 60120-3861 - Phone
- (847) 289-5555
- Fax
- (847) 289-5577
- NPI assigned
- Dec 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John V Prunskis, M.D.
- Title
- Medical Director
- Phone
- (847) 289-5577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
431 Summit St
Elgin, IL 60120-3861
Mailing address
431 Summit St
Elgin, IL 60120-3861
Phone (847) 289-5555
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Elgin, IL
- NPI 1962416370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881757250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 SUMMIT ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601203861",
"telephone_number": "847-289-5555",
"fax_number": "847-289-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 SUMMIT ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601203861",
"telephone_number": "847-289-5555",
"fax_number": "847-289-5577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMITSURG PROCEDURE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRUNSKIS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "847-289-5577",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.