Mrs Dynata Charles Funderburg, MA - Psychologist in Flossmoor, IL

Mrs Dynata Charles Funderburg, MA is a Psychologist - Intellectual & Developmental Disabilities based in Flossmoor, Illinois. Mrs Dynata Charles Funderburg is licensed to practice in * (Not Available) (license number ) and her current practice location is 806 Maple Rd, Flossmoor, Illinois. She can be reached at her office (for appointments etc.) via phone at (708) 647-6426.

NPI number for Mrs Dynata Charles Funderburg is 1548486152 and her current mailing address is 806 Maple Rd, Flossmoor, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548486152.

Contact Information

Mrs Dynata Charles Funderburg, MA
806 Maple Rd,
Flossmoor, IL 60422-1060
(708) 647-6426
(708) 647-6233

Map and Direction




Healthcare Provider's Profile

Full NameMrs Dynata Charles Funderburg
GenderFemale
SpecialityPsychologist - Intellectual & Developmental Disabilities
Location806 Maple Rd, Flossmoor, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548486152
  • Provider Enumeration Date: 04/18/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Dynata Charles Funderburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548486152NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TM1800XPsychologist - Intellectual & Developmental Disabilities (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Dynata Charles Funderburg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Dynata Charles Funderburg, MA
806 Maple Rd,
Flossmoor, IL 60422-1060

Ph: (708) 647-6426
Mrs Dynata Charles Funderburg, MA
806 Maple Rd,
Flossmoor, IL 60422-1060

Ph: (708) 647-6426

Reviews and Comments


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