Jacob M Funk, LLC

NPI #1003154378 in Edwardsville, Illinois

Provider Information

NPI Number: 1003154378
Entity Type: Organization
Organization Name: Jacob M Funk, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 22, 2013
Last Updated: Jul 8, 2013

Practice Location

Address: 1409 TROY RD
City: Edwardsville
State: Illinois
ZIP Code: 62025-2532
Phone: (618) 659-2080

Authorized Official

Name: JACOB FUNK, DC
Title: OWNER
Phone: (618) 659-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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