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

Mr. Kendrick Dwayne Summers, PT

Individual provider Physical Therapist · NPI 1003196593

Mr. Kendrick Dwayne Summers, PT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2007, 19 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

259 E Erie St Ste 13-205
Chicago, IL 60611-2987
Phone: (312) 695-8143
Fax: (312) 695-4075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.019110 (IL)

Record details

NPI number1003196593
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 28, 2011
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address259 E Erie St Ste 13-205, Chicago, IL 60611-2987

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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