Funkhouser, Colton

Funkhouser, Colton is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Funkhouser, Colton can be contacted via phone (773) 702-1447.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Phone: (773) 702-1447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 125.077823 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1407481898
LBN Legal business name Funkhouser, Colton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2020
Last updated Dec 23rd, 2022 - about 3 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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