Anita M Funkhouser, | |
100 Illinois St Ste 200, St Charles, IL 60174-1867 | |
(630) 277-9731 | |
Not Available |
Full Name | Anita M Funkhouser |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 100 Illinois St Ste 200, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770231110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1180013538 (Illinois) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
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Anita M Funkhouser, 273 S Melrose Ave, Elgin, IL 60123-7255 Ph: (847) 624-1991 | Anita M Funkhouser, 100 Illinois St Ste 200, St Charles, IL 60174-1867 Ph: (630) 277-9731 |
Lauren Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41w400 Silver Glen Rd, St Charles, IL 60175 Phone: 855-740-1921 | |
Cassandra Furbur, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 Illinois Ave, St Charles, IL 60174 Phone: 630-549-6245 | |
Dr. Christine R. Hibbard, ED.D, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1121 E Main St, Suite 320, St Charles, IL 60174 Phone: 630-584-0642 Fax: 630-365-2478 | |
Kyle James Smith, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1120 E Main St, Suite 201, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Ms. Edith Wirtz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 E Main St, St Charles, IL 60174 Phone: 630-587-3777 | |
Dr. David J. Norton, PH.D. Counselor Medicare: Medicare Enrolled Practice Location: 1120 E Main St, St Charles, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Ms. Samantha Anne Miemczewski, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 3805 E Main St Ste M, St Charles, IL 60174 Phone: 630-305-5118 |