| Summit Medical Center S.c. | |
|
6252 S Archer Rd Summit IL 60501-1720 | |
| (708) 496-9549 | |
| (708) 728-9429 |
| Full Name | Summit Medical Center S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6252 S Archer Rd, Summit, Illinois |
| Authorized Official Name and Position | Ankit Shah (PRESIDENT) |
| Authorized Official Contact | 7084969549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Center S.c. 6252 S Archer Rd Summit IL 60501-1720 Ph: (708) 496-9549 | Summit Medical Center S.c. 6252 S Archer Rd Summit IL 60501-1720 Ph: (708) 496-9549 |
| NPI Number | 1679744643 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 08/29/2022 |
| Medicare PECOS PAC ID | 6406994755 |
|---|---|
| Medicare Enrollment ID | O20091106000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679744643 | NPI | - | NPPES |
| 036086195 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036086195 (Illinois) | Primary |
| Provider Name | Kirit C Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003987298 PECOS PAC ID: 2062550312 Enrollment ID: I20091106000505 |
| Provider Name | Angelina D Ledonne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407977838 PECOS PAC ID: 6305024365 Enrollment ID: I20110623000024 |
| Provider Name | Ankit K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831516954 PECOS PAC ID: 9234434051 Enrollment ID: I20171024000521 |
Dilip M Shah Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6134 S Harlem Ave, Summit, IL 60501 Phone: 708-458-0102 | |
Pillars Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7666 W 63rd St, Summit, IL 60501 Phone: 708-745-5277 | |
Summit Sch Dist 104 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60th Street & 74th Ave, Summit, IL 60501 Phone: 708-458-0505 Fax: 708-728-3111 | |
Argo Comm Hs Dist 217 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7329 W 63rd Street, Summit, IL 60501 Phone: 708-728-3200 Fax: 708-728-3155 | |
Access Community Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7450 W 63rd St, Summit, IL 60501 Phone: 708-458-0757 |