FULLER HEALTH GROUP LLC


Address: 12 W Maple St, Chicago, IL 60610-4691
Phone: 3125873500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NN1001X Chiropractor
Specialization: Nutrition
038010329 IL Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS AND BLUE SHIELD OF ILLINOIS 1073556544 01

Office Location

Street Address 12 W MAPLE ST
City CHICAGO
State IL
Zip Code 60610-4691

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326683145 Roslyn M Jordan Counselor 860 N. Lasalle, Chicago, IL 60610 2019-11-15
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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
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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
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Taxonomy Information

Taxonomy Code 111NN1001X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Nutrition

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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City CHICAGO
Zip Code 60610

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Dataset Information

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.

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