Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fletcher Summa, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619762598

Fletcher Summa, MD is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone: (309) 672-5522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619762598
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 11, 2025
Last updated in NPPESApril 11, 2025
Certification dateApril 6, 2025
Mailing address1919 W Sherman Ave, West Peoria, IL 61604-5642

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