FULLER HEALTH GROUP LLC (NPI# 1962647792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962647792 |
Entity Type | Organization |
Organization Name | FULLER HEALTH GROUP LLC |
Practice Address |
12 W Maple St Chicago IL 60610-4691 |
Mailing Address |
Po Box 349 Oak Park IL 60303-0349 |
Practice Telephone | 3125873500 |
Mailing Telephone | 7087059494 |
Mailing Fax Number | 7083862768 |
Enumeration Date | 2008-12-08 |
Last Update Date | 2008-12-08 |
Authorized Official Name | DR. BRIAN JAY FULLER (PRESIDENT) |
Authorized Official Telephone | 7087059494 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NN1001X |
Chiropractor Specialization: Nutrition |
038010329 | IL | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS AND BLUE SHIELD OF ILLINOIS | 1073556544 | 01 |
Street Address |
12 W MAPLE ST |
City | CHICAGO |
State | IL |
Zip Code | 60610-4691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
Find all providers in zip 60610 |
Taxonomy Code | 111NN1001X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Nutrition |
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient’s prescription and over the counter medications are recorded and analyzed. |
Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164901906 | Chicago Natural Health Care | Chiropractor | 3432 W Diversey Ave Ste 253, Chicago, IL 60647-1221 | 2018-08-13 |
1396137816 | Stephen Justin Smitherman | Chiropractor | 2124 W Erie St Apt 1r, Chicago, IL 60612 | 2015-02-19 |
1447685052 | Active Wellness LLC | Chiropractor | 338 E Ohio, Chicago, IL 60611 | 2013-09-13 |
1891120408 | Active Wellness LLC | Chiropractor | 560 W Diversey Pkwy, Chicago, IL 60614 | 2013-09-13 |
1841637022 | Diane Elizabeth Petrow | Chiropractor | 1211 N La Salle Dr, Chicago, IL 60610-1927 | 2013-05-29 |
1902162662 | Active Wellness, LLC | Chiropractor | 4555 N Lincoln Ave, Chicago, IL 60625-2102 | 2012-04-06 |
1386924652 | Thedr.com | Chiropractor | 6749 N Lakewood Ave, Suite 3-n, Chicago, IL 60626-4335 | 2011-08-18 |
1942320585 | Elissa Jo Grossman | Chiropractor | 407 W North Ave, Chicago, IL 60610-1189 | 2007-03-29 |
1962514513 | Initium Inc. | Chiropractor | 1445 N State Pkwy, 1207, Chicago, IL 60610-1565 | 2006-08-31 |
1063439768 | Proactive Natural Medicine, Ltd | Chiropractor | 5929 N Mobile Ave, Chicago, IL 60646-5330 | 2006-07-17 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.