Fultz, Kristopher Roger

Fultz, Kristopher Roger is an sole proprietor health care provider with primary practice located at 4440 W 95Th St Ste Aip , Oak Lawn IL 60453-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Fultz, Kristopher Roger can be contacted via phone (708) 684-5094.

Contact Information

Primary practice address
4440 W 95Th St Ste Aip Oak Lawn IL 60453-2600
Phone: (708) 684-5094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036.151194 Illinois

Profile Details

NPI number 1083842439
LBN Legal business name Fultz, Kristopher Roger
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2009
Last updated Oct 15th, 2020 - about 5 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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