Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Summit Family Medical Center

Organization Family Medicine Physician · NPI 1174718050

Summit Family Medical Center provides Family Medicine Physician services in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

902 N Hershey Rd
Bloomington, IL 61704 Not confirmed with CMS for 19 years — call before visiting
Phone: (309) 662-6880
Fax: (309) 662-7385
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)

Record details

NPI number1174718050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Birge — Owner · (309) 662-6880
NPI enumeratedSeptember 13, 2007
Last updated in NPPESSeptember 13, 2007
Mailing address902 N Hershey Rd, Bloomington, IL 61704

Other providers in Bloomington