DR. BRIAN JAY FULLER (D.C.) – Nutrition Chiropractor, NPI 1073556544
Nutrition Chiropractor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. BRIAN JAY FULLER (D.C.)
The UPS Store, 910, West Van Buren Street, Greektown, Near West Side, University Village/Little Italy, Chicago, Cook County, Illinois, 60607, United States
SUITE 419
CHICAGO, IL 606073523
Phone: (708) 705-9494
Type: Mailing
Chicago and North Western Railway Power House, 201-211, North Clinton Street, Near West Side, Chicago, Cook County, Illinois, 60661, United States
SUITE 2S
CHICAGO, IL 606611282
Phone: (708) 705-9494
Type: Location
1010 LAKE ST STE 400
OAK PARK, IL 603011135
Phone: (708) 705-9494
Fax: (708) 221-7108
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-03-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210315000050 | I | Chiropractic | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60607)
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