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Physician Compare National (NPI:1316122955)

HEALTHCARE PROVIDER: FRANK LESLIE SUMMERS PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1316122955
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3173654886
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100624000403
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SUMMERS
Individual professional last name
Provider First Name FRANK
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1975
Individual professional's medical school graduation year
Primary Specialty PSYCHOLOGIST, CLINICAL
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 333 E ONTARIO ST
Group Practice or individual's line 1 address
Line 2 Street Address APT 4509B
Group Practice or individual's line 2 address
City CHICAGO
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 606118402
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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