Fuller Health Group Sc

NPI #1689806358 in Oak Park, Illinois

Provider Information

NPI Number: 1689806358
Entity Type: Organization
Organization Name: Fuller Health Group Sc
Primary Specialty: Chiropractor
Enumeration Date: Aug 14, 2009
Last Updated: Mar 23, 2021

Practice Location

Address: 1010 LAKE ST STE 400
City: Oak Park
State: Illinois
ZIP Code: 60301-1135
Phone: (312) 801-0318

Authorized Official

Name: DR. BRIAN JAY FULLER, DC
Title: CHIROPRACTIC PHYSICIAN
Phone: (708) 705-9494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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