Summers, Kathleen Lea

Summers, Kathleen Lea is an individual health care provider with primary practice located at 1600 W Walnut St , Jacksonville IL 62650. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Summers, Kathleen Lea can be contacted via phone (217) 245-9541.

Contact Information

Primary practice address
1600 W Walnut St Jacksonville IL 62650
Phone: (217) 245-9541
Fax: (217) 479-8781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036103814 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036103814 Illinois

Profile Details

NPI number 1750433611
LBN Legal business name Summers, Kathleen Lea
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Apr 16th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750433611 NPPES
Illinois MEDICAID L997718
Illinois MEDICAID L97187
Illinois MEDICAID L86359

Popular Providers