SearchIllinois103TC0700X

Dustin Summers, PSYD

NPI 1447526447 · on the registry since 2012

Practice

Address
24012 W Renwick Rd
204a
Plainfield, IL 60544
Phone
(815) 676-4688
Fax
(815) 676-4498
Organisation at this address
Jamie Mirocha
M C Purri Inc
Jamie Mirocha
Brainease Llc
Sherry Patti, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois