MRS. DYNATA CHARLES FUNDERBURG M.A.
NPI 1548486152
Psychologist - Intellectual and Developmental Disabilities in Flossmoor, IL

Q: What is Dynata Funderburg's NPI number?

The NPI number for Dynata Funderburg is 1548486152. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Dynata Funderburg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

Q: When was this NPI record last updated?

The NPPES record for Dynata Funderburg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 18, 2007

806 MAPLE RD, FLOSSMOOR, IL 60422(708) 647-6426(708) 647-6233 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Dynata Charles Funderburg M.a. NPPES

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

MRS. DYNATA CHARLES FUNDERBURG M.A. (NPI 1548486152) is an individual intellectual and developmental disabilities provider in Flossmoor, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1548486152

Entity TypeIndividualFemale

Primary Taxonomy103TM1800X

Provider Legal NameMRS. DYNATA CHARLES FUNDERBURGCredential: M.A.

Location Address806 MAPLE RDFlossmoor, IL 60422-1060

Mailing Address806 Maple RdFlossmoor, IL 60422-1060 · (708) 647-6426 · Fax (708) 647-6233

Phone(708) 647-6426

Fax(708) 647-6233

Sole ProprietorYes

Enumeration DateApril 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1548486152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers

Taxonomy Code103TM1800X

806 MAPLE RD, Flossmoor, IL 60422

Open in Google Maps ↗

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 Dynata Funderburg's NPI number?

The NPI number for Dynata Funderburg is 1548486152. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Dynata Funderburg located?

Dynata Funderburg practices at 806 Maple Rd, Flossmoor, IL 60422. The listed phone number is (708) 647-6426.

What is Dynata Funderburg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Dynata Funderburg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.