ELYSE FULTS

CHICAGO, IL
NPI1609432939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036165474)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-13
Last Update Date2023-06-27
Business Address
ELYSE FULTS MD
1653 W CONGRESS PKWY
CHICAGO, IL 60612-3833
Phone number: 312-942-0229
Mailing Address
ELYSE FULTS MD
1653 W CONGRESS PKWY
CHICAGO, IL 60612-3833
Phone number: 312-942-0229