Most Relevant Information
Provider Data
| NPI Number: | 1003196593 |
| Provider Name: | KENDRICK DWAYNE SUMMERS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070.019110 |
Most Important Dates
| Enumeration Date: | 08/28/2011 |
| Last Updated: | 06/30/2021 |
Provider Practice Location
259 E ERIE ST STE 13-205
CHICAGO
IL
606112987
Practice Location Phone/Fax
| Phone: | 3126958143 |
| Fax: | 3126954075 |
Provider Mailing Location
259 E ERIE ST STE 13-205
CHICAGO
IL
606112987
Provider Mailing Phone/Fax
| Phone: | 3126958143 |
| Fax: | 3126954075 |