Organization · Type 2 NPI
Functional Immunology, PLLC
General Practice Physician · North Aurora, IL
NPI number
1508715491
Active
Practice location
838 Columbia Cir
North Aurora, IL 60542-1812
Fax (630) 326-8652
Mailing address
855 A Ave NE Ste 105
Cedar Rapids, IA 52402-5060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1508715491
Functional Immunology, PLLC's National Provider Identifier is 1508715491, issued on Jan 24, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in North Aurora, IL. The record was last updated on Aug 12, 2026.