Michael Duane Funk, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38006386 Issued in IL

Practice address

1030 Court Street
Pekin, IL 61554-4806

Phone

(309) 346-8008

Fax

(309) 346-8009

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Illinois Chiropractic, P.C.

  • Chiropractor
  • Pekin, IL
  • NPI 1558379115
  Authorized official Same address or phone
• Central Il Chiropractic, LTD

  • Chiropractor
  • Pekin, IL
  • NPI 1629478672
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659389211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 COURT STREET",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544806",
            "telephone_number": "309-346-8008",
            "fax_number": "309-346-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COURT STREET",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544806",
            "telephone_number": "309-346-8008",
            "fax_number": "309-346-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "MICHAEL",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38006386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "09015695",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lariven Beltran Franada, D.O.
• Alexandria Frank
• Fresenius Medical Care of Illinois, LLC (Fresenius Medical Care Pekin Home)
• Friedrich J. Von Bun, M.D.,S.C. (Pekin Pulmonary Clinic)
• Laura Christine Fuelberth, RD
• Karsen Elaine Fussner, COTA/L
• Anu Ganesh
• Corette Marie Gardner, LSW
• Gateway Professional Services, PC
• Judy C Getz, RD, BS, LD

• Chiropractor in Pekin, IL
• Providers in Pekin, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.