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Individual

MRS. IRMA E FUNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
8950 GROSS POINT RD, STE. 300, SKOKIE, IL 60077-1886
(847) 965-1901
(847) 965-1952
Mailing address
5341 CAROL ST, SKOKIE, IL 60077-2002
(847) 965-1901
(847) 965-1952

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009925
IL
363LA2200X
Adult Health Nurse Practitioner
209-009925
IL

Other

Enumeration date
11/06/2012
Last updated
09/11/2017
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