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:
Map and Directions
Authorized official contact:
Name: Fuller, Brian Jay Doctor of Chiropractic (DC)
Phone: (708) 705-9494

Health care specialties

SpecialtyCodeLicense #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 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962647792 NPPES
Illinois Other 1073556544 BLUE CROSS AND BLUE SHIELD OF ILLINOIS

Popular Providers