Provider Type Icon

FULLER HEALTH GROUP SC NPI 1689806358


NPI Information

NPI: 1689806358
Provider Name: FULLER HEALTH GROUP SC

Former Legal Business Name: FULLER HEALTH GROUP PC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1010 LAKE ST STE 400
OAK PARK, IL
ZIP 60301
Phone: (312) 801-0318
Get Directions

FULLER HEALTH GROUP SC is a chiropractor in Oak Park, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. FULLER HEALTH GROUP SC NPI is 1689806358. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Fuller Health Group Pc.

The provider's business location address is:

1010 LAKE ST STE 400
OAK PARK, IL
ZIP 60301-135
Phone: (312) 801-0318
Fax: (708) 221-7108

The provider's authorized official is Brian Jay Fuller .
The authorized official title is Chiropractic Physician and has the following contact phone number (708) 705-9494.

The enumeration date for this NPI number is 8/14/2009 and was last updated on 3/23/2021.


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
1225100000XPhysical TherapistNo
2111N00000XChiropractorYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.