Individual
JULKO E FULLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 JAQUESS AVE, MOUNT CARMEL, IL 62863-1211
(618) 262-2390
(618) 262-2393
Mailing address
1527 COLLEGE DR, MOUNT CARMEL, IL 62863-2615
(618) 263-6400
(618) 263-6291
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036113111
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113111
—
IL
Enumeration date
09/16/2005
Last updated
04/16/2014
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