Organization
NONA FULK, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NONA P FULK M.D. (PRESIDENT)
(309) 826-2966
Entity
Organization
Contact information
Practice address
1300 FRANKLIN AVE STE 330, NORMAL, IL 61761-4204
(309) 808-0940
Mailing address
1300 FRANKLIN AVE STE 330, NORMAL, IL 61761-4204
(309) 808-0940
(309) 808-0799
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36-096101
IL
Other
Enumeration date
09/11/2009
Last updated
02/28/2024
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