person
Tatanisha Funches
Family Nurse Practitioner in Waukegan, Illinois
NPI 1336667070

Tatanisha Funches is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Tatanisha Funches practices in Waukegan, IL. The NPI Number for Tatanisha Funches is 1336667070 and holds a License No. 041380097 (Illinois).

The current practice location address for Tatanisha Funches is 2504 Washington St Ste 102, Waukegan, IL and can be reached out via phone at 847-623-7590 and via fax at 847-623-7591.

Location: 2504 Washington St Ste 102, Waukegan, IL, 60606-4438
person
Provider Profile Details
NPI Number
1336667070
Provider Name
Tatanisha Funches
Credential
Provider Entity Type
Individual
Gender
Female
Address
2504 Washington St Ste 102, Waukegan, IL, 60606-4438
Phone Number
847-623-7590
Fax Number
847-623-7591
Provider Enumeration Date
09/01/2017
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
2504 Washington St Ste 102
City
State
Zip
60085-4960
Phone Number
847-623-7590
Fax Number
847-623-7591
person
Provider Business Mailing Address Details
Address
2504 Washington St Ste 102
City
State
Zip
60085-4960
Phone Number
847-623-7590
Fax Number
847-623-7591
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
License No.
209029247 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
041380097 (Indiana)
Definition
Definition to come...
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