| NPI | 1689806358 |
|---|---|
| Former Legal Business Name | FULLER HEALTH GROUP PC |
| Entity Type | Organization |
| Authorized Contact | BRIAN JAY FULLER Chiropractic Physician 708-705-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2021-03-23 |