Fuller Health Group Llc
LBN: Fuller Health Group Llc
Fuller Health Group Llc is an health care organization with primary practice located at 12 W Maple St , Chicago IL 60610-4691. The organization recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as the primary health care specialty.
Fuller Health Group Llc can be contacted via phone (312) 587-3500, or through Fuller, Brian Jay via phone (708) 705-9494.
Contact Information
Primary practice address
12 W Maple St
Chicago IL 60610-4691
Phone: (312) 587-3500
Fax:
Website:
Authorized official contact:
Name: Fuller, Brian Jay Doctor of Chiropractic (DC)
Phone: (708) 705-9494
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Nutrition | 111NN1001X | 038010329 | Illinois |
Profile Details
NPI number | 1962647792 |
---|---|
LBN Legal business name | Fuller Health Group Llc |
DBA Doing business as | |
Authorized official | Fuller, Brian Jay Doctor of Chiropractic (DC) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 8th, 2008 |
Last updated | Dec 8th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962647792 | NPPES |
Illinois | Other | 1073556544 | BLUE CROSS AND BLUE SHIELD OF ILLINOIS |
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