NPI 1164474979

Bruce Summerville, MD

Practitioner Orthopaedic Surgery Physician Gurnee, IL

Practice location

Address: 350 S Greenleaf St Suite 405, Gurnee, IL 60031-5709
Phone: (847) 336-3335
Mailing address: 900 Rand Rd STE 300 Attn: Raquel Leon, Des Plaines, IL 60016-2359

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 036-088414 (IL)

Other Orthopaedic Surgery providers in Illinois →

Registry record

NPI: 1164474979
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2006
Record last updated: 20 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.