Nona Fulk, M.d., S.c.

NPI 1063745883 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1063745883
Enumeration Date 09/11/2009
Last Updated 02/12/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name NONA P NONA
Position PRESIDENT
Phone (309) 808-0940
Fax
Practice Location
1300 FRANKLIN AVE
SUITE 360
NORMAL IL, 61761-3592, US
Phone (309) 808-0940
Fax
Business Location
1300 FRANKLIN AVE
SUITE 360
NORMAL IL, 61761-3592, US
Phone (309) 808-0940
Fax (309) 808-0799
Toxanomy
Taxonomy Code 207V00000X
License State Illinois
License Number 36-096101
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According to our database, Nona Fulk, M.d., S.c. NPI is 1063745883, taxonomy code is 207V00000X and license number is 36-096101, license state is located at Illinois. Nona Fulk, M.d., S.c. physically located at 1300 Franklin Ave, Normal IL, 61761-3592. NPI Number 1033115704 has the healthcare provider type.

1063745883 NPI number is provided on an as is basis without warranty of any kind. 1063745883 is maintained by the National Plan & Provider Enumeration System. The contents of Nona Fulk, M.d., S.c. are for informational purposes only.