Jacob Funk, D.C. Valid NPI
Individual provider · Chiropractor · East Alton, IL
- NPI
- 1700194750
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 038.011766 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2010-09-23
- Last updated
- 2010-09-23
Practice location
2 Terminal Dr, Suite 15
East Alton, IL 62024-2268
(618) 258-8610