Individual
DR. MICHAEL DUANE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1030 COURT STREET, PEKIN, IL 61554-4806
(309) 346-8008
(309) 346-8009
Mailing address
1030 COURT STREET, PEKIN, IL 61554-4806
(309) 346-8008
(309) 346-8009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38006386
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09015695
BLUE CROSS
IL
Enumeration date
08/03/2006
Last updated
07/08/2007
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