SearchIllinois363A00000X

John Fulk, P.A

NPI 1063419679 · on the registry since 2005

Practice

Address
1302 Franklin Ave
Suite 4800
Normal, IL 61761
Phone
(309) 454-5900
Fax
(309) 454-2820
Organisation at this address
Lifelong Access
Sharon R Weaver Md Sc
Thornton And Haas, S.C.
Premier Medical Group, Llc
Anesthesiology Consultants Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
132

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois