SearchIllinoisIndependent Duty Corpsman

John Fulling, IDC

NPI 1083873905 · on the registry since 2008 · sole proprietor

Practice

Address
2410 Sampson St
Fisher Bmc #237
Great Lakes, IL 60088
Phone
(847) 688-5556
Fax
(847) 688-2512
Organisation at this address
James A Lovell Federal Health Care Center
James A Lovell Federal Health Care Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2008-06-05

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