# FUNTASTIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093013377
- **Authorized official:** SHARON SILVERBERG (OFFICE MANAGER)
- **Authorized official phone:** (847) 507-5960

## Contact information

- **Practice address:** 1020 CASTLEWOOD LN, DEERFIELD, IL 60015-2646
- **Practice address phone:** (847) 507-5960
- **Practice address fax:** (847) 986-4055
- **Mailing address:** PO BOX 373, GRAYSLAKE, IL 60030-0373
- **Mailing address phone:** (847) 507-5960
- **Mailing address fax:** (847) 986-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 03/10/2011