Brian Funaki, | |
5841 S Maryland Ave, Chicago, IL 60637-1443 | |
(888) 824-0200 | |
Not Available |
Full Name | Brian Funaki |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 5841 S Maryland Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356492326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036089221 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The University Of Chicago Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Chicago | 7719899426 | 1157 |
University Of Chicago | 7719899426 | 1157 |
Entity Name | University Of Chicago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | University Of Chicago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477262046 PECOS PAC ID: 7719899426 Enrollment ID: O20230206002554 |
Mailing Address | Practice Location Address |
---|---|
Brian Funaki, 150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919 Ph: () - | Brian Funaki, 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (888) 824-0200 |
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