Ann Elizabeth Fulk, MSW
Individual provider Active NPI Social Worker · Libertyville, IL
NPI 1104507151 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1104507151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312 - Phone
- (847) 816-6335
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Yes |
Addresses
Primary practice location
1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312
Mailing address
402 N Macarthur Blvd
Mt Prospect, IL 60056-2214
Phone (224) 578-0380
Other names
- Ms. Ann Elizabeth Fulk
Other providers in Libertyville, IL
- Matthew Frisque
- Maureen Fritz
- Dina M Froustis
- Elizabeth Fuentes
- Alyssa L Fuggiti
- Anuja Gadgil
- Danielle L Gaffke
- Christine Bertaud Gaiden
- Maxine Gal
- Ariana K Gale-Savage
All providers in Libertyville, IL · Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.