Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN JAY FULLER, D.C.
Active Sole ProprietorDR. BRIAN JAY FULLER, D.C. is a Nutrition (Chiropractor) healthcare provider located in OAK PARK, Illinois. NPI 1073556544 is currently active in the NPPES registry. Verify at CMS.
Nutrition (Chiropractor) · OAK PARK, IL
Registration Details
- NPI Number
- 1073556544
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (20.19031755042 yrs)
- Last Updated
- Dec 11, 2020
- License
-
038010329 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1010 LAKE ST STE 400OAK PARK, IL, 603011135Browse IL providers · Browse ZIP 60301
- Phone
- 7087059494
- Fax
- 7082217108
- Primary Specialty
-
Nutrition (Chiropractor)
111NN1001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.