DR. BRIAN JAY FULLER (NPI# 1073556544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073556544 |
| Entity Type | Individual |
| Full Name | DR. BRIAN JAY FULLER |
| Credential | D.C. |
| Practice Address |
211 N Clinton St Suite 2s Chicago IL 60661-1282 |
| Mailing Address |
910 W Van Buren St Suite 419 Chicago IL 60607-3523 |
| Practice Telephone | 7087059494 |
| Mailing Telephone | 7087059494 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN1001X |
Chiropractor Specialization: Nutrition |
038010329 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760674725 | Brian Scott Fuller | Dentist | 1920 S 1st St, 1509, Minneapolis, MN 55454-1055 | 2007-08-14 |
| 1316035280 | Brian Christopher Fuller | Pediatrics | 2401 Village Professional Drive, Opelika, AL 36801-4702 | 2006-10-10 |
| 1972562601 | Brian George Fuller | Physical Therapist | 15 Porters Glen Pl, Durham, NC 27713-9164 | 2006-03-21 |
| 1730174160 | Brian J Fuller | Physical Therapist | 4453 State Route 159, Chillicothe, OH 45601-8620 | 2005-09-12 |
| 1427540178 | Brian Fuller | Pediatrics | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2018-05-30 |
| 1184915365 | Brian Robert Fuller | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2230 | 2011-04-22 |
| 1033409438 | Brian Edward Fuller | Psychiatry & Neurology | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2011-04-19 |
| 1780973982 | Brian J Fuller | Family Medicine | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2011-03-29 |
| 1336473032 | Brian K Fuller | Case Manager/Care Coordinator | 3211 Jefferson St, San Diego, CA 92110-4424 | 2009-09-28 |
| 1396972386 | Brian C Fuller | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2009-06-17 |
| Street Address |
211 N CLINTON ST SUITE 2S |
| City | CHICAGO |
| State | IL |
| Zip Code | 60661-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639546518 | Christopher R Hagan | Physical Therapist | 211 N Clinton St, Suite 2s, Chicago, IL 60661-1282 | 2015-08-27 |
| 1720412109 | Sarah J Plumley | Physical Therapist | 211 N Clinton St, Ste 2s, Chicago, IL 60661-1282 | 2013-08-21 |
| 1962705657 | Raymond Nicholas Degli | Physical Therapist | 211 N Clinton St, Suite 2, Chicago, IL 60661-1282 | 2010-12-17 |
| 1518274380 | James Inkyu Lee | Physical Therapist | 211 N Clinton St, Suite 2s, Chicago, IL 60661-1282 | 2010-09-01 |
| 1689806358 | Fuller Health Group PC | Nutritionist | 211 N Clinton St, Suite 2s, Chicago, IL 60661-1282 | 2009-08-14 |
| 1548301351 | Sarah Lindquist Lengar | Physical Therapist | 211 N Clinton St, Ste 2s, Chicago, IL 60661-1282 | 2007-02-12 |
| 1871661827 | Flexeon Rehabilitation - Clinton, LLC | Clinic/Center | 211 N Clinton St, Suite 2 South, Chicago, IL 60661-1282 | 2006-11-30 |
| 1861401044 | Raymond Salvatore Manasia | Chiropractor | 211 N Clinton St, Suite 2s, Chicago, IL 60661-1282 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
| 1154835932 | Kathleen Emery | Psychologist | 555 W Jackson Blvd Ste 700, Chicago, IL 60661 | 2017-11-30 |
| 1407384886 | Dana M Trotta | Physical Therapist | 500 W Madison St # C024, Chicago, IL 60661 | 2017-05-30 |
| 1003356874 | Carcena Harvey-burns | Nurse Practitioner | 549 W Randolph St, Chicago, IL 60661 | 2017-02-27 |
| 1962949610 | H & U of West Loop LLC | Dentist | 207 S. Halsted St., Chicago, IL 60661 | 2017-01-19 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306114699 | Telos Therapy, LLC | Physical Therapist | 651 W Washington Blvd Ste 305, Chicago, IL 60661 | 2011-12-01 |
| 1912288622 | Peter Cuauhtemoc Shinnick | Pharmacist | 111 S Halsted, Chicago, IL 60661 | 2011-09-08 |
| 1619292570 | Ramandeep Kaur | Family Medicine | 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 | 2010-04-05 |
| Find all providers in zip 60661 | ||||
| Taxonomy Code | 111NN1001X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Nutrition |
| Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient’s prescription and over the counter medications are recorded and analyzed. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164901906 | Chicago Natural Health Care | Chiropractor | 3432 W Diversey Ave Ste 253, Chicago, IL 60647-1221 | 2018-08-13 |
| 1396137816 | Stephen Justin Smitherman | Chiropractor | 2124 W Erie St Apt 1r, Chicago, IL 60612 | 2015-02-19 |
| 1447685052 | Active Wellness LLC | Chiropractor | 338 E Ohio, Chicago, IL 60611 | 2013-09-13 |
| 1891120408 | Active Wellness LLC | Chiropractor | 560 W Diversey Pkwy, Chicago, IL 60614 | 2013-09-13 |
| 1841637022 | Diane Elizabeth Petrow | Chiropractor | 1211 N La Salle Dr, Chicago, IL 60610-1927 | 2013-05-29 |
| 1902162662 | Active Wellness, LLC | Chiropractor | 4555 N Lincoln Ave, Chicago, IL 60625-2102 | 2012-04-06 |
| 1386924652 | Thedr.com | Chiropractor | 6749 N Lakewood Ave, Suite 3-n, Chicago, IL 60626-4335 | 2011-08-18 |
| 1962647792 | Fuller Health Group LLC | Chiropractor | 12 W Maple St, Chicago, IL 60610-4691 | 2008-12-08 |
| 1942320585 | Elissa Jo Grossman | Chiropractor | 407 W North Ave, Chicago, IL 60610-1189 | 2007-03-29 |
| 1962514513 | Initium Inc. | Chiropractor | 1445 N State Pkwy, 1207, Chicago, IL 60610-1565 | 2006-08-31 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.