Fuller, Jillian

Fuller, Jillian is an individual health care provider with primary practice located at 1740 W Taylor St , Chicago IL 60612-7232. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Fuller, Jillian can be contacted via phone (312) 413-5276.

Contact Information

Primary practice address
1740 W Taylor St Chicago IL 60612-7232
Phone: (312) 413-5276
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 3154762 Illinois
Pharmacy Service Providers / Pharmacist 183500000X 051296611 Illinois

Profile Details

NPI number 1972250116
LBN Legal business name Fuller, Jillian
Credentials PHARMD, BCPS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2022
Last updated Mar 8th, 2022 - about 2 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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