MEDICARE: SUMMIT SURGICARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0800X	Endoscopy Clinic/Center

General Provider Information

NPI Number	:	1427230416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT SURGICARE

Provider Business Mailing Address
First Line	:	1S280 SUMMIT AVE
Second Line	:	CT A
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-3984
Country	:	US
Telephone Number	:	630-889-9889
Fax Number	:	630-889-8977

Provider Business Practice Location Address
First Line	:	1S280 SUMMIT AVE
Second Line	:	CT A
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-3984
Country	:	US
Telephone Number	:	630-889-9889
Fax Number	:	630-889-8977

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID CHUA
Credential	:	MD
Telephone Number	:	630-889-9889

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	10/30/2008

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Directions to “SUMMIT SURGICARE ” Practice Location

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