FUNCTIONAL LIFE CONSULTING, LLC (NPI# 1598131393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598131393 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL LIFE CONSULTING, LLC |
| Practice Address |
813 Seward St Unit 3s Evanston IL 60202-2882 |
| Mailing Address |
1555 Sherman Ave Suite 343 Evanston IL 60201-4421 |
| Practice Telephone | 8476441280 |
| Mailing Telephone | 8476441280 |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |
| Authorized Official Name | MARK HOWARD CABLE (OWNER) |
| Authorized Official Telephone | 8476441280 |
| Authorized Official Credential | MS, OTR/L, CAPS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
056010180 | IL | Ambulatory Health Care Facilities |
| Street Address |
813 SEWARD ST UNIT 3S |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-2882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811537178 | O.t. To You Pediatric Therapy Services, LLC | Clinic/Center | 9430 Harding Ave, Evanston, IL 60203-1323 | 2020-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154871127 | Concentra | Clinic/Center | 7421 South Cass Avenue, Darien, IL 60561-3607 | 2016-10-13 |
| 1679927222 | Child Therapy and Rehabilitation LLC | Clinic/Center | 790 Fletcher Dr, Unit 101, Elgin, IL 60123-4755 | 2016-04-20 |
| 1356715684 | Indus Medicine Ltd | Clinic/Center | 739 Hoover Dr, Carol Stream, IL 60188-1590 | 2015-11-24 |
| 1427488899 | Let's Grow, Inc. | Clinic/Center | 1746 W 17th St Rear, Chicago, IL 60608 | 2013-11-20 |
| 1447592704 | Occupational Health Centers of Illinois PC | Clinic/Center | 7421 S Cass Ave, Darien, IL 60561-3607 | 2013-03-25 |
| 1518204650 | Healthworks Medical Group of Illinois S C | Clinic/Center | 11601 W Touhy Ave, O'hare International Airport- Terminal 2- Lower Level, Chicago, IL 60666-5047 | 2013-01-09 |
| 1427366921 | Healthworks Medical Group of Illinois S C | Clinic/Center | 5100 Lake Terrance Ne, Mount Vernon, IL 62864-9665 | 2010-09-17 |
| 1932426285 | Medworks Joliet Corp | Clinic/Center | 815 Campus Drive, Joliet, IL 60435 | 2010-04-27 |
| 1588811475 | Tyler Medical Services | Clinic/Center | 525 Tyler Rd Ste H, St Charles, IL 60174-3363 | 2008-08-21 |
| 1568627362 | Occupational Health Centers of Illinois PC | Clinic/Center | 8001 Tpc Rd, Rock Island, IL 61201-7315 | 2008-07-22 |
| Find all providers with the same taxonomy | ||||
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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.