Individual
ANNA FUNSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5641 N LINCOLN AVE, CHICAGO, IL 60659-4921
(773) 728-4784
Mailing address
3700 N FREMONT ST APT 3, CHICAGO, IL 60613-3929
(301) 580-9175
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209016685
IL
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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