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John Fultz, M.D
NPI 1679664163 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1314 Church St
Evanston, IL 60201 - Phone
- (773) 275-6349
- Fax
- (773) 275-6385
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-06
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