Joan Eileen Funk in Northbrook - Psychologist

Joan Eileen Funk - NPI 1740324128

Joan Eileen Funk is a Psychologist in Northbrook, Illinois. Joan Eileen Funk practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Joan Eileen Funk is 1740324128. The last update date is 2007-07-08.

Joan Eileen Funk's current location address is 655 Landwehr Rd, Northbrook, Illinois. You can contact this provider via phone number 8474981699 and fax number 8472396029. The mailing address for Joan Eileen Funk is 655 Landwehr Rd, Northbrook, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Joan Eileen Funk
Address 655 Landwehr Rd, Northbrook, Illinois
Phone Number 8474981699
Fax Number 8472396029
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1740324128
Provider Enumeration Date 2007-02-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 655 Landwehr Rd
City Northbrook
State Illinois (IL)
Post Code 600622311
Phone Number 8474981699
Fax Number 8472396029

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1632155 IL BLUECROSS BLUESHIELD , IL

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FAQs about Joan Eileen Funk

What is the unique provider identifier assigned to Joan Eileen Funk?

The Joan Eileen Funk has been issued the NPI (National Provider Identifier) 1740324128 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Joan Eileen Funk's facilities are situated?

The facilities of Joan Eileen Funk are physically located at the following address: 655 Landwehr Rd, Northbrook, IL, 600622311.

What is Joan Eileen Funk's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Joan Eileen Funk is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740324128 to Joan Eileen Funk?

The Centers for Medicare & Medicaid Services assigned the 1740324128 to Joan Eileen Funk on 2007-02-17.

As of what date was the information pertaining to Joan Eileen Funk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Joan Eileen Funk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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