FULLER HEALTH GROUP PC (NPI# 1689806358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689806358 |
Entity Type | Organization |
Organization Name | FULLER HEALTH GROUP PC |
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 | 3125873500 |
Mailing Telephone | 7087059494 |
Mailing Fax Number | 7082217108 |
Enumeration Date | 2009-08-14 |
Last Update Date | 2015-05-12 |
Authorized Official Name | DR. BRIAN JAY FULLER (CHIROPRACTIC PHYSICIAN) |
Authorized Official Telephone | 7087059494 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
Y | 111N00000X | Chiropractor | Chiropractic Providers |
Street Address |
211 N CLINTON ST SUITE 2S |
City | CHICAGO |
State | IL |
Zip Code | 60661-1282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073556544 | Brian Jay Fuller | Chiropractor | 211 N Clinton St, Suite 2s, Chicago, IL 60661-1282 | 2006-06-13 |
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 |
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 | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
1104448547 | Katie Niebur | Chiropractor | 6909 W Medill Ave, Chicago, IL 60707-2910 | 2020-05-07 |
1063031003 | Bazan's Health Center Inc | Chiropractor | 4012 W 63rd St, Chicago, IL 60629-4606 | 2020-04-09 |
1346875861 | Christopher A Haslett Dc P.c | Chiropractor | 400 N Wells St Ste 300, Chicago, IL 60654-2761 | 2020-03-04 |
1245870138 | Be Well Chiropractic Clinics LLC | Chiropractor | 3648 W Montrose Ave Apt 2e, Chicago, IL 60618-1979 | 2020-01-08 |
1982242186 | Michael Tal Risher | Chiropractor | 2378 N Elston Ct, Chicago, IL 60614-2929 | 2019-12-18 |
1821632423 | Rachel Nicole Leibovitz | Chiropractor | 624 W Belmont Ave, Chicago, IL 60657-4511 | 2019-11-06 |
1053954180 | Aaron Alexander Bryant | Chiropractor | 125 N Halsted St Ste 202, Chicago, IL 60661-2160 | 2019-10-22 |
1073156238 | Omar A. Bleibel | Chiropractor | 4801 W Peterson Ave Ste 505, Chicago, IL 60646-5795 | 2019-10-21 |
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.