Individual provider · Type 1 NPI

Stevie Nicole Funk, PA-C

Surgical Physician Assistant · Chicago, IL

NPI number 1104285196 Active

Practice location

5140 N California Ave
Chicago, IL 60625-3645

Call (773) 271-4444 Map

Fax (773) 271-5912

Other practice locations

  • 5660 W 95th St, Oak Lawn, IL 60453-2380 · (708) 907-4355
  • 3 Erie Ct, Oak Park, IL 60302-2519 · (708) 763-6747

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085005780 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1104285196

Stevie Nicole Funk, PA-C's National Provider Identifier is 1104285196, issued on Feb 18, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chicago, IL. The record was last updated on Jul 18, 2024.