Organization
24 ON PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN A. FULLER (SECRETARY)
(770) 740-0895
Entity
Organization
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 431-5380
(815) 431-5672
Mailing address
PO BOX 19108, BELFAST, ME 04915-4086
(770) 274-0468
(404) 806-4334
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/02/2009
Last updated
08/28/2025
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