Individual
NONA P FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 392-9520
(618) 395-5117
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
036096101
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096101
—
IL
Enumeration date
06/29/2005
Last updated
03/14/2025
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