| Organization Name: | FUNTASTIC INC. |
| NPI Number: | 1093013377 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON SILVERBERG (OFFICE MANAGER) |
| Mailing Address: | 1020 Castlewood Ln Deerfield |
| State: | IL US |
| Postal Code: | 600152646 |
| Phone Number: | 8475075960 |
| Fax Number: | 8479864055 |
| NPI Enumeration Date: | 03/10/2011 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |