Search › Illinois › 2085R0202X
Douglas Fulk, M.D
NPI 1992780050 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1200 Cedar Ct
Carbondale, IL 62901 - Phone
- (618) 529-8500
- Fax
- (618) 549-1000
- Organisation at this address
- Cedar Court Imaging Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-09
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