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FUNCTIONAL REGENERATIVE SERVICES OF ILLINOIS LTD LLC
NPI 1043891880
Nurse Practitioner - Family in Tuscola, IL

Active since April 14, 2021
902 S COURT STREET, SUITE 2, TUSCOLA, IL 61953(217) 253-2370 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2021, Apr 14, 2021 (2 updates tracked since 2021).

About Functional Regenerative Services Of Illinois Ltd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL REGENERATIVE SERVICES OF ILLINOIS LTD LLC (NPI 1043891880) is a healthcare organization registered as a family in Tuscola, Illinois and active in the NPI registry since April 2021. The organization lists Kristina Nicole Smith, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1043891880
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFUNCTIONAL REGENERATIVE SERVICES OF ILLINOIS LTD LLC
Location Address902 S COURT STREET, SUITE 2Tuscola, IL 61953
Mailing Address902 S Court Street, Suite 2Tuscola, IL 61953 · (217) 253-2370
Phone(217) 253-2370
Organization SubpartNo
Authorized OfficialKristina Nicole SmithNurse Practitioner · (217) 253-2370
Enumeration DateApril 14, 2021
Last NPPES UpdateJune 3, 20212 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
✔ NPI 1043891880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
902 S COURT STREET, Tuscola, IL 61953
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functional Regenerative Services Of Illinois Ltd LLC's NPI number?

The NPI number for Functional Regenerative Services Of Illinois Ltd LLC is 1043891880. It was assigned to this organization in the NPPES registry on April 14, 2021.

Where is Functional Regenerative Services Of Illinois Ltd LLC located?

Functional Regenerative Services Of Illinois Ltd LLC is located at 902 S Court Street Suite 2, Tuscola, IL 61953. The listed phone number is (217) 253-2370.

What is Functional Regenerative Services Of Illinois Ltd LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Functional Regenerative Services Of Illinois Ltd LLC was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.