Provider Demographics
NPI:1427230416
Name:SUMMIT SURGICARE
Entity Type:Organization
Organization Name:SUMMIT SURGICARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-889-9889
Mailing Address - Street 1:1S280 SUMMIT AVE
Mailing Address - Street 2:CT A
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3984
Mailing Address - Country:US
Mailing Address - Phone:630-889-9889
Mailing Address - Fax:630-889-8977
Practice Address - Street 1:1S280 SUMMIT AVE
Practice Address - Street 2:CT A
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3984
Practice Address - Country:US
Practice Address - Phone:630-889-9889
Practice Address - Fax:630-889-8977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy