Roger Keith Funk in Northbrook - Psychologist
Roger Keith Funk - NPI 1851437628
Roger Keith Funk is a Psychologist in Northbrook, Illinois. Roger Keith Funk practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Roger Keith Funk is 1851437628. The last update date is 2007-07-08.
Roger Keith 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 Roger Keith Funk is 655 Landwehr Rd, Northbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Keith Funk |
|---|---|
| Address | 655 Landwehr Rd, Northbrook, Illinois |
| Phone Number | 8474981699 |
| Fax Number | 8472396029 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1851437628 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| 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 |
|---|---|---|---|
| 1672646 | IL | BLUE CROSS BLUE SHIELD | |
| 212754 | IL | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Roger Keith Funk by the Centers for Medicare & Medicaid Services?
The Roger Keith Funk has been assigned the NPI (National Provider Identifier) 1851437628 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Roger Keith Funk's physical address?
The Roger Keith Funk is physically located at 655 Landwehr Rd, in the city of Northbrook, IL, with the postal code 600622311.
What is the area of specialization for Roger Keith Funk, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Roger Keith Funk is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851437628 to Roger Keith Funk?
The Roger Keith Funk received its 1851437628 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.
When was the information pertaining to Roger Keith Funk most recently updated or revised?
The details related to Roger Keith Funk, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.