Individual
DR. SEAN PATRICK FULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 W. CURTIS ROAD, CHAMPAIGN, IL 61822-9678
(217) 365-6202
(217) 326-0188
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 326-8630
(314) 577-5616
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036133135
IL
Other
Enumeration date
05/24/2010
Last updated
05/19/2025
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