Healthcare Provider Details

I. General information

NPI: 1558482844
Provider Name (Legal Business Name): SUMMIT SCHOOL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 S MCLEAN BLVD
ELGIN IL
60123-6704
US

IV. Provider business mailing address

799 S MCLEAN BLVD
ELGIN IL
60123-6704
US

V. Phone/Fax

Practice location:
  • Phone: 847-488-9207
  • Fax: 847-488-9209
Mailing address:
  • Phone: 847-488-9207
  • Fax: 847-488-9209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number001
License Number StateIL

VIII. Authorized Official

Name: MRS. KAREN ROMANO
Title or Position: DIRECTOR
Credential: DEV. THERAPY
Phone: 847-488-9207