Fuller Health Group LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

038010329 Issued in IL

Legal business name

FULLER HEALTH GROUP LLC

Practice address

12 W Maple St
Chicago, IL 60610-4691

Phone

(312) 587-3500

NPI assigned

Dec 8, 2008

Last updated

Dec 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Jay Fuller, DCNPI 1073556544

Title

President

Phone

(708) 705-9494

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Jay Fuller, D.C.

  • Nutrition Chiropractor
  • Oak Park, IL
  • NPI 1073556544
  Authorized official Same address or phone

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1962647792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603030349",
            "telephone_number": "708-705-9494",
            "fax_number": "708-386-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W MAPLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606104691",
            "telephone_number": "312-587-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-705-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038010329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Measure Therapy PLLC
• Full Time Transport LLC
• Amanda Full, DVM, DACVIM
• Dominic Edward Fullenkamp, M.D.
• Fuller Counseling Group LLC
• Alexis Fuller, LCSW
• Alisha Fuller, LPC
• Anna Fuller, APN
• Brittany Anne Fuller
• Davida Dawana Fuller, LCSW

• Nutrition Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Nutrition Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.