Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Functional Regenerative Services of Illinois Ltd LLC

Organization Family Nurse Practitioner · NPI 1043891880

Functional Regenerative Services of Illinois Ltd LLC is a Family Nurse Practitioner in Tuscola, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

902 S Court St Ste 2
Tuscola, IL 61953
Phone: (217) 253-2370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1043891880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristina Smith — Nurse Practitioner · (217) 253-2370
NPI enumeratedApril 14, 2021
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address902 S Court Street, Suite 2, Tuscola, IL 61953

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