Individual
DR. ERIC BRADLEY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, BOX 69, CHICAGO, IL 60611-2991
(312) 227-6190
Mailing address
225 E CHICAGO AVE, BOX 69, CHICAGO, IL 60611-2991
(312) 227-6190
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125-058032
IL
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
036.132558
IL
207XP3100X
Pediatric Orthopaedic Surgery Physician
137416
CA
Other
Enumeration date
06/23/2010
Last updated
09/06/2016
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