DR. Brian Jay Fuller, D.C.

NPI #1073556544 in Oak Park, Illinois

Provider Information

NPI Number: 1073556544
Entity Type: Individual
Name: DR. Brian Jay Fuller, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor - Nutrition
Credential: D.C.
Enumeration Date: Jun 13, 2006
Last Updated: Dec 11, 2020

Practice Location

Address: 1010 LAKE ST STE 400
City: Oak Park
State: Illinois
ZIP Code: 60301-1135
Phone: (708) 705-9494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Nutrition — Nutrition	111NN1001X	Primary

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