Individual
ROSEMARY HINES FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 GREEN BAY RD, WINNETKA, IL 60093-4006
(630) 418-1905
Mailing address
46 GREEN BAY RD, WINNETKA, IL 60093-4006
(630) 418-1905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.160680
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2015
Last updated
03/05/2025
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