Fuller, Eric Bradley

Fuller, Eric Bradley is an individual health care provider with primary practice located at 225 E Chicago Ave Box 69, Chicago IL 60611-2991. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Fuller, Eric Bradley can be contacted via phone (312) 227-6190.

Contact Information

Primary practice address
225 E Chicago Ave Box 69 Chicago IL 60611-2991
Phone: (312) 227-6190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 125-058032 Illinois
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 137416 California
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 036.132558 Illinois

Profile Details

NPI number 1194036210
LBN Legal business name Fuller, Eric Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Sep 6th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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