Funtastic Inc.

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

FUNTASTIC INC.

Practice address

1020 Castlewood LN
Deerfield, IL 60015-2646

Phone

(847) 507-5960

Fax

(847) 986-4055

NPI assigned

Mar 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharon Silverberg

Title

Office Manager

Phone

(847) 507-5960

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1093013377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600300373",
            "telephone_number": "847-507-5960",
            "fax_number": "847-986-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CASTLEWOOD LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152646",
            "telephone_number": "847-507-5960",
            "fax_number": "847-986-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNTASTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "SILVERBERG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-507-5960"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Judith Freedmaan, RDN, LDN
• Norine Freedman, M.A. , L.C.P.C.
• Allison Freeman
• Fresenius Medical Care of Illinois, LLC
• Bert J Frisch, R.PH.
• Abby Elizabeth Gagerman, LCSW
• Gajda Sports Medical Center LTD
• Galliani Mulvaney & Associates LTD
• Robert Edward Galliani
• Mikhail Galperin, MD

• Occupational Medicine Clinic/Center in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Occupational Medicine Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.