Jessica L Funk (NPI# 1891035903, PAC ID# 4880828532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1891035903 |
| PAC ID by PECOS | 4880828532 |
| Professional Enrollment ID | I20131011000337 |
| Full Name | Jessica L Funk |
| Organization Legal Name | ALLENDALE ASSOCIATION |
| Address |
420 W Grand Ave Bradley Counseling Center Lake Villa IL 60046-8664 |
| Phone Number | 8473563322 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 1850352592 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 448 Lake Cook Rd, Suite A, Deerfield, IL 60015-4965 | 8474334450 | WOLFSON PSYCHOLOGICAL SERVICES PC |
| 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 | 8473563322 | ALLENDALE ASSOCIATION |
| Organization Legal Name | ALLENDALE ASSOCIATION |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine A Mcconnell | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Sandra Ej Clavelli | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Sandra Lr Venden | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Alison E Rogers | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Laura N Ogurek | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Jaclyn P Guerriero | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Alica M Wade | Clinical Social Worker | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Shazia Tayyab | Psychiatry | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Street Address |
420 W GRAND AVE BRADLEY COUNSELING CENTER |
| City | LAKE VILLA |
| State | IL |
| Zip | 60046-8664 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine A Mcconnell | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Sandra Ej Clavelli | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Sandra Lr Venden | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Alison E Rogers | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Laura N Ogurek | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Jaclyn P Guerriero | Clinical Psychologist | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Alica M Wade | Clinical Social Worker | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Shazia Tayyab | Psychiatry | Allendale Association | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046-8664 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Dickstein | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Craig A Davishoff | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Neil H Puller | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Lauren T Gruber | Physical Therapy | Illinois Bone and Joint Institute LLC | 1025 Red Oak Ln, Suite 100, Lindenhurst, IL 60046-5017 |
| Elina Shapiro | Physical Therapy | Illinois Bone and Joint Institute LLC | 1025 Red Oak Ln, Suite 100, Lindenhurst, IL 60046-5017 |
| Scott Anthony Jacobsen | Podiatry | Illinois Bone and Joint Institute LLC | 1025 Red Oak Ln, Suite 100, Lindenhurst, IL 60046-5017 |
| Catherine M Goodale | Nurse Practitioner | Waukegan Clinic Corp | 1025 Red Oak Ln, Suite 120, Lindenhurst, IL 60046-5017 |
| Spring Evans | Physical Therapy | Adult and Pediatric Orthopedics, S.c | 50 S Milwaukee Ave, Suite 201, Lake Villa, IL 60046-5426 |
| Jeffrey B Wells | Chiropractic | Advanced Chiropractic and Acupuncture Center | 2450 E Grasslake Rd D, Lindenhurst, IL 60046-5607 |
| Lawrence G Needham | Chiropractic | 1512 N Cedar Lake Rd, Lake Villa, IL 60046-6404 | |
| Find all physicians in zip 60046 | |||
| City | LAKE VILLA |
| Zip Code | 60046 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | LAKE VILLA + CLINICAL PSYCHOLOGIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.