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Organization
FUNTASTIC INC.
Active
Organization
FUNTASTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SILVERBERG (OFFICE MANAGER)
(847) 507-5960
Entity
Organization
Contact information
Practice address
1020 CASTLEWOOD LN, DEERFIELD, IL 60015-2646
(847) 507-5960
(847) 986-4055
Mailing address
PO BOX 373, GRAYSLAKE, IL 60030-0373
(847) 507-5960
(847) 986-4055
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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