Healthcare Provider Details

I. General information

NPI: 1477832244
Provider Name (Legal Business Name): SUMMIT SCHOOLS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W RIVER RD
ELGIN IL
60123-1572
US

IV. Provider business mailing address

1128 LAKEVIEW RD
ELGIN IL
60123-1523
US

V. Phone/Fax

Practice location:
  • Phone: 847-488-9207
  • Fax:
Mailing address:
  • Phone: 815-488-0424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberGB27580601P
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1848614
License Number StateIL

VIII. Authorized Official

Name: MS. GAIL MARIE BURKE
Title or Position: DEVELOPMENTAL THERAPIST/BEH ANALYST
Credential:
Phone: 815-488-0424