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

Tatanisha Funches

Individual provider Family Nurse Practitioner · NPI 1336667070

Tatanisha Funches is a Nurse Practitioner in Waukegan, Illinois. Qualified in 2023, 3 years ago. Practices with Integra Healthcare SC, a 15-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Indiana.

Years since qualifying
3
Licensed in
IL, IN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2504 Washington St Ste 102
Waukegan, IL 60085-4960
Phone: (847) 623-7590
Fax: (847) 623-7591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6142 Roosevelt Rd Ste 202-3, Oak Park, IL 60304-2311 — (224) 384-5465

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209029247 (IL)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 041380097 (IN)

Record details

NPI number1336667070
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 1, 2017
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address6142 Roosevelt Rd Ste 202-3, Oak Park, IL 60304-2311

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Integra Healthcare Sc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Waukegan