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Contact Information

CALLISTA C FUNK, DC
REVIVE CHIROPRACTIC HEALING CENTER
1169 W MADISON ST
CHICAGO, IL60607
 Phone: 312-491-8100
 Fax: 312-491-8501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CALLISTA C FUNK · (Female)

NPI Number 1295080463
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 07/13/2012
Last updated 01/14/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 038012202
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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