Individual
STEVIE NICOLE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 271-4444
(773) 271-5912
Mailing address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 271-4444
(773) 271-5912
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085005780
IL
Other
Enumeration date
02/18/2016
Last updated
07/18/2024
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