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Organization
FULLER HEALTH GROUP SC
Active
Organization
FULLER HEALTH GROUP SC
Active
Other names
Fuller Health Group PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JAY FULLER DC (CHIROPRACTIC PHYSICIAN)
(708) 705-9494
Entity
Organization
Contact information
Practice address
1010 LAKE ST STE 400, OAK PARK, IL 60301-1135
(312) 801-0318
(708) 221-7108
Mailing address
1010 LAKE ST STE 400, OAK PARK, IL 60301-1135
(312) 801-0318
(708) 221-7108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/14/2009
Last updated
03/23/2021
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