Healthcare Provider Details

I. General information

NPI: 1346498656
Provider Name (Legal Business Name): SUMMER K TOTONCHI D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2008
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5603 LINCOLN AVE
LISLE IL
60532-2609
US

IV. Provider business mailing address

648 CHIPPEWA DR
NAPERVILLE IL
60563-1380
US

V. Phone/Fax

Practice location:
  • Phone: 630-241-3904
  • Fax:
Mailing address:
  • Phone: 847-693-8227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019027784
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: