Stacks, Summers Michelle

Stacks, Summers Michelle is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Stacks, Summers Michelle can be contacted via phone (847) 723-6200.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Phone: (847) 723-6200
Fax: (847) 696-3391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.057452 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036130856 Illinois

Profile Details

NPI number 1710206784
LBN Legal business name Stacks, Summers Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2010
Last updated Jul 18th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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