Functional Immunology, PLLC

General Practice Physician · North Aurora, IL

Organization Active NPI

NPI number 1508715491

Practice location

838 Columbia Cir
North Aurora, IL 60542-1812

Phone: (630) 448-0545
Fax: (630) 326-8652

Open in Google Maps

NPI record

NPI: 1508715491
Entity type: Organization (Type 2)
Enumeration date: January 24, 2026
Last updated: August 12, 2026
Certified: August 12, 2026
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Physician Primary	`208D00000X`	—	—

Mailing address

855 a Ave NE Ste 105
Cedar Rapids, IA 52402-5060

Phone: (646) 531-1151
Fax: (319) 369-8251

Authorized official

Name: Stanley Mathew, MD
Title: Owner
Phone: (646) 531-1151

Other names

The Young Clinic Functional Medicine

About Functional Immunology, PLLC

Functional Immunology, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 838 Columbia Cir, North Aurora, IL 60542-1812. The NPI number 1508715491 was assigned on January 24, 2026 and the record was last updated on August 12, 2026.

The authorized official for this organization is Stanley Mathew, MD, Owner.

Frequently asked questions

What is the NPI number of Functional Immunology, PLLC?

The NPI number is 1508715491.

What is the phone number of Functional Immunology, PLLC?

The phone number listed for the practice location is (630) 448-0545.

Where is Functional Immunology, PLLC located?

838 Columbia Cir, North Aurora, IL 60542-1812.

What is the taxonomy code for Functional Immunology, PLLC?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.