Individual
EDEN FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LSW
Contact information
Practice address
25 E WASHINGTON ST STE 1458, CHICAGO, IL 60602-1856
(708) 568-1344
Mailing address
25 E WASHINGTON ST STE 1458, CHICAGO, IL 60602-1856
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150118459
IL
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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