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 provides Family Nurse Practitioner services 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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