Organization
FULLER HEALTH GROUP SC
Active
Other names
Fuller Health Group PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JAY FULLER DC (CHIROPRACTIC PHYSICIAN)
(708) 705-9494
Entity
Organization
Contact information
Practice address
1010 LAKE ST STE 400, OAK PARK, IL 60301-1135
(312) 801-0318
(708) 221-7108
Mailing address
1010 LAKE ST STE 400, OAK PARK, IL 60301-1135
(312) 801-0318
(708) 221-7108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/14/2009
Last updated
03/23/2021
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