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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 CenterInferred 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