| Summit Clinical Services Pc | |
|
1761 S Naperville Rd Ste 200 Wheaton IL 60189-5846 | |
| (630) 260-0606 | |
| (630) 260-1049 |
| Full Name | Summit Clinical Services Pc |
|---|---|
| Speciality | Counselor |
| Location | 1761 S Naperville Rd Ste 200, Wheaton, Illinois |
| Authorized Official Name and Position | Daniel R Wyma (OWNER) |
| Authorized Official Contact | 6302600606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Clinical Services Pc 1761 S Naperville Rd Ste 200 Wheaton IL 60189-5846 Ph: (630) 260-0606 | Summit Clinical Services Pc 1761 S Naperville Rd Ste 200 Wheaton IL 60189-5846 Ph: (630) 260-0606 |
| NPI Number | 1518082502 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 03/14/2013 |
| Medicare PECOS PAC ID | 6608880497 |
|---|---|
| Medicare Enrollment ID | O20060201000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518082502 | NPI | - | NPPES |
| 0002220764 | Other | IL | ILLINOIS BLUE CROSS ID # |
| Provider Name | Rita M Tranquilli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225115132 PECOS PAC ID: 1850342510 Enrollment ID: I20050722000688 |
| Provider Name | Sharon S Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821161886 PECOS PAC ID: 8729092523 Enrollment ID: I20060201000130 |
| Provider Name | Andrew C Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821161787 PECOS PAC ID: 5092816066 Enrollment ID: I20070720000110 |
| Provider Name | Jeffrey L Santee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457424400 PECOS PAC ID: 8022285279 Enrollment ID: I20120111000762 |
| Provider Name | Daniel R Wyma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336212299 PECOS PAC ID: 1052325842 Enrollment ID: I20120322000389 |
| Provider Name | Sameen Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720243025 PECOS PAC ID: 4385800978 Enrollment ID: I20120726000160 |
| Provider Name | Anna P Mackender |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285862284 PECOS PAC ID: 4688813181 Enrollment ID: I20130613000152 |
| Provider Name | Sharon S Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821161886 PECOS PAC ID: 8729092523 Enrollment ID: I20161025002490 |
| Provider Name | Arturo D Ventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891220257 PECOS PAC ID: 8628347846 Enrollment ID: I20170703000850 |
| Provider Name | Jennifer Parks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225538333 PECOS PAC ID: 6204189699 Enrollment ID: I20190912002325 |
| Provider Name | Rebecca Durkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053632737 PECOS PAC ID: 3971721960 Enrollment ID: I20200730000900 |
| Provider Name | Holly S Canas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912239328 PECOS PAC ID: 9436548120 Enrollment ID: I20211118002016 |
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