KATHARINA S FUNG (NPI# 1497106199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497106199 |
| Entity Type | Individual |
| Full Name | KATHARINA S FUNG |
| Credential | DMD |
| Practice Address |
3450 Lacey Rd Downers Grove IL 60515-5430 |
| Practice Telephone | 6307434500 |
| Mailing Telephone | 6307434500 |
| Mailing Fax Number | 6307434537 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
019032168 | IL | Dental Providers |
| Street Address |
3450 LACEY RD |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-5430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982685707 | Rebecca Siscel | Dentist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2005-11-09 |
| 1376187559 | Meredith S Saletta | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2019-10-31 |
| 1356818041 | Drauseo T Speratti | Dentist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-10-31 |
| 1215428222 | Vakishan Nadarajah | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-05-24 |
| 1336639723 | Abbey Leigh Richeson | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-05-11 |
| 1245739481 | Midwestern University | Physical Therapist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-02-02 |
| 1538667381 | Cynthia L Ward | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-01-26 |
| 1447779442 | Kristin L Adams | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2017-09-12 |
| 1801314505 | Constanza E Fernandez Gonzalez | Dentist | 3450 Lacey Rd, Dental Institute, Downers Grove, IL 60515 | 2017-09-01 |
| 1275057630 | Hye Seon Yoo | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2017-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1033567359 | Samuel Brooks Allen | Dentist | 6800 Main St., Third Floor, Downers Grove, IL 60516 | 2016-05-26 |
| 1982083135 | Zachary T Frazier Dds PC | Dentist | 4909 Forest Ave, Downers Grove, IL 60515-3509 | 2015-05-20 |
| 1245445964 | Meenakshi Balakrishnan | Dentist | 1330 Ogden Ave, Downers Grove, IL 60515-2772 | 2007-05-14 |
| 1679788319 | Yourthodontist Limited | Dentist | 1330 Ogden Avenue, Downers Grove, IL 60515-2772 | 2007-05-14 |
| 1457579054 | Richard Frederick Callahan | Dentist | 5133 Washington St Ste 7, Downers Grove, IL 60515-4757 | 2007-04-22 |
| 1790286169 | Ortho2smile | Dentist | 4326 Prince St, Downers Grove, IL 60515-2875 | 2018-02-21 |
| 1659527539 | Lisa Maire Mckee | Dentist | 6224 Main St, C, Downers Grove, IL 60516-1900 | 2008-08-12 |
| 1659479467 | Andrew M. Clark | Dentist | 6800 Main St, Suite 315, Downers Grove, IL 60516-3493 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670421 | Braces By Barnes | Dentist | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 |
| 1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
| 1073147682 | Collinsville Orthodontics Pllc | Dentist | 93 Crestmoor St, Collinsville, IL 62234-4952 | 2020-02-24 |
| 1740812494 | Bankhead Alton Orthodontics PC | Dentist | 2828 Homer Adams Pkwy, Alton, IL 62002-4855 | 2020-02-11 |
| 1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
| 1922645308 | Riddhi J Desai Dmd Pllc | Dentist | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 |
| 1295379691 | Orthodontic Experts, Ltd | Dentist | 1351 N Larkin Ave, Joliet, IL 60435-3753 | 2019-10-30 |
| 1407409071 | Barysenka LLC | Dentist | 124 N California St, Sycamore, IL 60178-1402 | 2019-07-22 |
| 1346806577 | Pulaski Smiling Dental P.C. | Dentist | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 |
| 1750944252 | Candid Illinois, Pllc | Dentist | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.