Organization · Type 2 NPI
Funtastic Inc.
Occupational Medicine Clinic/Center · Deerfield, IL
NPI number
1093013377
Active
Practice location
1020 Castlewood Ln
Deerfield, IL 60015-2646
Fax (847) 986-4055
Mailing address
PO Box 373
Grayslake, IL 60030-0373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | None listed |
| Occupational Medicine Clinic/Center Primary | 261QX0100X | None listed |
Occupational Medicine Clinic/Center: Definition to come...
Another provider at this address
About NPI 1093013377
Funtastic Inc.'s National Provider Identifier is 1093013377, issued on Mar 10, 2011. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Deerfield, IL. The record was last updated on Mar 10, 2011.