Christopher Fuller, CEP

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

1919 S Wolf Rd Apt 213
Hillside, IL 60162-2128

Phone

(773) 837-0580

NPI assigned

Mar 25, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1437786704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S WOLF RD APT 213",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622128",
            "telephone_number": "773-837-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S WOLF RD APT 213",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622128",
            "telephone_number": "773-837-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CHRISTOPHER",
        "credential": "CEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Dolan, LCSW
• Emily Ann Duszynski, DT
• Jade Fields
• Aide Fonseca, LCSW
• Michelle Nicole Fry, MA, CRC, LPC
• Marni Garfinkel, M.S.
• Christian Gaubatz, PT, MPT
• Genesis Residential Living and Home Healthcare, Inc.
• Georgia Home Service LLC
• Iliana Ivanova Georgieva, MPT

• All providers in Hillside, IL
• Clinical Exercise Physiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.