Provider Demographics
NPI:1003243304
Name:FUNAI, CYNTHIA K (LAC, DIPL CH)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:K
Last Name:FUNAI
Suffix:
Gender:F
Credentials:LAC, DIPL CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 WAUKEGAN RD STE 210
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2164
Mailing Address - Country:US
Mailing Address - Phone:224-310-0847
Mailing Address - Fax:
Practice Address - Street 1:1500 WAUKEGAN RD # 210
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2100
Practice Address - Country:US
Practice Address - Phone:224-616-3355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.001131171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist