SearchIllinois207RH0003X

Andrew Fultz

NPI 1174225866 · on the registry since 2023

Practice

Address
315 W Carpenter St # B
Springfield, IL 62702
Phone
(217) 545-8000
Clinicians at this address
4

Registry record

Primary taxonomy
207RH0003X
207RH0003X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-02

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