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NONA FULK M.D. S.C. NPI 1063745883


NPI Information

NPI: 1063745883
Provider Name: NONA FULK, M.D., S.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1300 FRANKLIN AVE STE 330
NORMAL, IL
ZIP 61761
Phone: (309) 808-0940
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NONA FULK, M.D., S.C. is an obstetrics gynecology in Normal, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NONA FULK, M.D., S.C. NPI is 1063745883. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1300 FRANKLIN AVE STE 330
NORMAL, IL
ZIP 61761-204
Phone: (309) 808-0940

The provider's authorized official is Nona P Fulk .
The authorized official title is President and has the following contact phone number (309) 826-2966.

The enumeration date for this NPI number is 9/11/2009 and was last updated on 2/28/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology36-096101ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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