Jessica Funk, Psyd, Pc | |
6406 Chickaloon Dr Mchenry IL 60050-6555 | |
(224) 603-2119 | |
Not Available |
Full Name | Jessica Funk, Psyd, Pc |
---|---|
Speciality | Psychologist - Clinical |
Location | 6406 Chickaloon Dr, Mchenry, Illinois |
Authorized Official Name and Position | Jessica Funk (PRESIDENT/OWNER) |
Authorized Official Contact | 2246032119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jessica Funk, Psyd, Pc Po Box 2085 Mchenry IL 60051-9034 Ph: (224) 603-2119 | Jessica Funk, Psyd, Pc 6406 Chickaloon Dr Mchenry IL 60050-6555 Ph: (224) 603-2119 |
NPI Number | 1518748953 |
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Provider Enumeration Date | 10/11/2023 |
Last Update Date | 10/22/2023 |
Certification Date | 10/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518748953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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