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Contact Information

TATANISHA FUNCHES
2504 WASHINGTON ST STE 102
WAUKEGAN, IL60085-4960
 Phone: 847-623-7590
 Fax: 847-623-7591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for TATANISHA FUNCHES · (Female)

NPI Number 1336667070
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2017
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209029247
  • IN License # 041380097
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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