Zachary J Fulton (NPI# 1982676656, PAC ID# 2961452131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1982676656 |
| PAC ID by PECOS | 2961452131 |
| Professional Enrollment ID | I20050125000991 |
| Full Name | Zachary J Fulton |
| Organization Legal Name | MENDOTA COMMUNITY HOSPITAL |
| Address |
1404 Washington St Mendota IL 61342-1471 |
| Phone Number | 8155381825 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2264335777 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141310 | OSF SAINT PAUL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1672 S Gelena Ave, Dixon, IL 61021 | 8155642668 | PHYSICIANS IMMEDIATE CARE LTD. |
| 1401 E 12th St, Mendota, IL 61342-9216 | 8155397461 | MENDOTA COMMUNITY HOSPITAL |
| 1404 Washington St, Mendota, IL 61342-1471 | 8155381825 | MENDOTA COMMUNITY HOSPITAL |
| 1405 E 12th St, Suite 700, Mendota, IL 61342-9010 | 8155392663 | MENDOTA COMMUNITY HOSPITAL |
| Organization Legal Name | MENDOTA COMMUNITY HOSPITAL |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine R Riva Foster | Certified Registered Nurse Anesthetist (crna) | Mendota Community Hospital | 1401 E 12th St, Mendota, IL 61342-9216 |
| Mary M Chinn | Family Medicine | Mendota Community Hospital | 1404 Washington St, Mendota, IL 61342-1471 |
| Kenneth K Potts | Certified Registered Nurse Anesthetist (crna) | Mendota Community Hospital | 1401 E 12th St, Mendota, IL 61342-9216 |
| Amy M Matheis Soliman | Family Medicine | Mendota Community Hospital | 1401 E 12th St, Mendota, IL 61342-9216 |
| Leonardo Lopez | Family Medicine | Mendota Community Hospital | 1401 E 12th St, Mendota, IL 61342-9216 |
| Stacy A Piller | Nurse Practitioner | Mendota Community Hospital | 1405 E 12th St, 600 Physician Services of Mch, Mendota, IL 61342-9012 |
| David A Scholl | Family Medicine | Mendota Community Hospital | 1405 E 12th St, 600 Physician Services of Mch, Mendota, IL 61342-9012 |
| Street Address |
1404 WASHINGTON ST |
| City | MENDOTA |
| State | IL |
| Zip | 61342-1471 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary M Chinn | Family Medicine | Mendota Community Hospital | 1404 Washington St, Mendota, IL 61342-1471 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linnea L Person | Chiropractic | 1301 14th Ave, Mendota, IL 61342-1001 | |
| Cynthia A Becker | Chiropractic | 1403 E Main St, Mendota, IL 61342-1077 | |
| Donald W Piller | Chiropractic | 1312 Lakewood Dr, Mendota, IL 61342-1096 | |
| Tara N Vandewyngaerde | Optometry | 700 14th Ave, Mendota, IL 61342-1412 | |
| Joy R Preciado | Nurse Practitioner | Community Health Partnership of Illinois | 1009 Main St, Mendota, IL 61342-1604 |
| Rebecca J Amble | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Suite A, Mendota, IL 61342-1682 |
| Dawn H Mccollom | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Suite A, Mendota, IL 61342-1682 |
| Mary A Liddle | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Mendota, IL 61342-1682 |
| Kathryn M Zeman | Physician Assistant | 1201 Meriden St, Mendota, IL 61342-2501 | |
| Eric Alfred Kivisto | General Surgery | Osf Multi-specialty Group | 1405 E 12th St, Mendota, IL 61342-9010 |
| Find all physicians in zip 61342 | |||
| City | MENDOTA |
| Zip Code | 61342 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MENDOTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Zachary J Fulton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.