Emma Funk, PA-C

Individual provider Active NPI Physician Assistant · Fairfield, IL

NPI 1104732999 · NPPES record last updated Aug 20, 2026

Key facts

NPI
1104732999
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
1007 W Main St
Fairfield, IL 62837-2308
Phone
(618) 842-4470
NPI assigned
Aug 20, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IL Yes

Addresses

Primary practice location

1007 W Main St
Fairfield, IL 62837-2308

Mailing address

1101 Funk Rd
Elkville, IL 62932-2348

Other providers in Fairfield, IL

All providers in Fairfield, IL · Physician Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.