Search › Illinois › 163WM0705X
Edwana Fuller, RN
NPI 1760090765 · on the registry since 2020 · sole proprietor
Practice
- Address
- 5319 S Indiana Ave Apt 1
Chicago, IL 60615 - Phone
- (773) 299-2777
Registry record
- Primary taxonomy
- 163WM0705X
163WM0705X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-16
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