Summit Clinical Services Pc is a Counselor Clinic in Wheaton, Illinois. It is located at 1761 S Naperville Rd Ste 200, Wheaton, IL and its contact number is 630-260-0606. The authorized person for Summit Clinical Services Pc is Dr. Daniel R Wyma
who is Owner of the clinic and his/her contact number is 630-260-0606. The primary license number for Summit Clinical Services Pc is 071007924 (Counselor) in Illinois. Summit Clinical Services Pc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Summit Clinical Services Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Summit Clinical Services Pc
Specialization:
Counselor
Clinic Address:
1761 S Naperville Rd Ste 200, Wheaton, Illinois, 60189-5846
Phone:
630-260-0606
Fax:
630-260-1049
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Daniel R Wyma
Position:
Owner
Contact Number:
630-260-0606
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Summit Clinical Services Pc clinic are as mentioned below.
NPI Number:
1518082502
NPI Enumeration Date:
20 Mar, 2007
NPI Last Update On:
14 Mar, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Summit Clinical Services Pc are as mentioned below.
Specialization
License Number
State
Status
Counselor
071007924
Illinois
Primary
Counselor
180004554
Illinois
Secondary
Counselor
149014503
Illinois
Secondary
Professional
180002875
Illinois
Secondary
Professional
180004799
Illinois
Secondary
Clinical
071003388
Illinois
Secondary
Clinical
071005180
Illinois
Secondary
Social Worker
149000008
Illinois
Secondary
Clinical
149006444
Illinois
Secondary
Clinical
149003718
Illinois
Secondary
Marriage & Family Therapist
166000545
Illinois
Secondary
Psychiatry
036063557
Illinois
Secondary
Psychiatry
036089544
Illinois
Secondary
Psychiatry
036124166
Illinois
Secondary
Psychiatry
036128880
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0002220764
Other
Illinois
Illinois Blue Cross Id #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Summit Clinical Services Pc 1761 S Naperville Rd Ste 200, Wheaton, Illinois
Zip:
60189-5846
Phone Number:
630-260-0606
Fax Number:
630-260-1049
Patients can reach Summit Clinical Services Pc at 1761 S Naperville Rd Ste 200, Wheaton, Illinois or can call to book an appointment on 630-260-0606. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.