Funderburg, Dynata Charles

Funderburg, Dynata Charles is an sole proprietor health care provider with primary practice located at 806 Maple Rd , Flossmoor IL 60422-1060. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Funderburg, Dynata Charles can be contacted via phone (708) 647-6426.

Contact Information

Primary practice address
806 Maple Rd Flossmoor IL 60422-1060
Phone: (708) 647-6426
Fax: (708) 647-6233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1548486152
LBN Legal business name Funderburg, Dynata Charles
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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