Individual
COLIN THOMAS FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 S PROMONTORY DR, CHICAGO, IL 60649-1002
(847) 287-9699
Mailing address
1906 W ESTES AVE # G, CHICAGO, IL 60626-2372
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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