Erinn C Fuller PA-C

NPI 1295058717 - Physician Assistant - 363AS0400X

NPI Details
NPI 1295058717
Gender Female
Enumeration Date 03/11/2010
Last Updated 03/11/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
10719 WEST 160TH STREET
ORLAND PARK IL, 60467-5541, US
Phone (708) 226-3300
Fax (708) 226-1497
Business Location
75 REMITTANCE DRIVE
SUITE 6581
CHICAGO IL, 60675-6581, US
Phone (708) 226-3300
Fax (708) 226-1497
Toxanomy
Taxonomy Code 363AS0400X
License State Illinois
License Number 085003695
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According to our database, Erinn C Fuller PA-C NPI is 1295058717, taxonomy code is 363AS0400X and license number is 085003695, license state is located at Illinois. Erinn C Fuller PA-C physically located at 10719 West 160th Street, Orland Park IL, 60467-5541. NPI Number Erinn C Fuller PA-C has the Individual type.

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1295058717 NPI number is provided on an as is basis without warranty of any kind. 1295058717 is maintained by the National Plan & Provider Enumeration System. The contents of Erinn C Fuller PA-C are for informational purposes only.