Summers, Stephanie
Summers, Stephanie is an sole proprietor health care provider with primary practice located at 1594 Kenilworth Dr , Calumet City IL 60409-6306. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Summers, Stephanie can be contacted via phone (773) 425-8243.Contact Information
Primary practice address
1594 Kenilworth Dr
Calumet City IL 60409-6306
Phone: (773) 425-8243
Fax: (773) 667-9622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | S56278166683 | Illinois |
Profile Details
| NPI number | 1972779361 |
|---|---|
| LBN Legal business name | Summers, Stephanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2008 |
| Last updated | May 5th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972779361 | NPPES |
| Illinois | MEDICAID | 343729196040901 |
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