Search › Illinois › 222Q00000X
Samantha Fullilove
NPI 1306622386 · on the registry since 2023
Practice
- Address
- 17134 Park Ave
Lansing, IL 60438 - Phone
- (773) 398-8683
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Sex
- Female
- Record last updated
- 2023-09-05
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