Individual
DR. CALLISTA C FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
REVIVE CHIROPRACTIC HEALING CENTER, 1169 W MADISON ST, CHICAGO, IL 60607
(312) 491-8100
(312) 491-8501
Mailing address
917 W. WASHINGTON BLVD BOX 254, CHICAGO, IL 60607
(312) 491-8100
(312) 491-8501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012202
IL
Other
Enumeration date
07/13/2012
Last updated
01/14/2025
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