Christopher Alan Funk, PSYD | |
2200 Fort Jesse Rd Ste 220, Normal, IL 61761-6289 | |
(309) 664-3130 | |
Not Available |
Full Name | Christopher Alan Funk |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 5 Years |
Location | 2200 Fort Jesse Rd Ste 220, Normal, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659040467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071.010590 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Christopher Alan Funk, PSYD 315 1/2 N Main St, Bloomington, IL 61701-3966 Ph: (770) 568-3896 | Christopher Alan Funk, PSYD 2200 Fort Jesse Rd Ste 220, Normal, IL 61761-6289 Ph: (309) 664-3130 |
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