FULLER HEALTH GROUP LLC – Nutrition Chiropractor, NPI 1962647792

FULLER HEALTH GROUP LLC is a healthcare provider. based in Chicago, Illinois. specializing in Nutrition Chiropractor. The organization holds a License No. 038010329 (IL). The NPI Number for FULLER HEALTH GROUP LLC is 1962647792

Main info

Organization
Name
FULLER HEALTH GROUP LLC
NPI
1962647792
Phone
(312) 587-3500
Address
12 W MAPLE ST
Authorized Official
DR. BRIAN JAY FULLER PRESIDENT DC
Enumeration Date
8 December 2008
Last Update Date
8 December 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for FULLER HEALTH GROUP LLC

  • Bella Bianca, 12, West Maple Street, Gold Coast, Near North Side, Chicago, North Chicago Township, Cook County, Illinois, 60610, United States

    CHICAGO, IL 606104691

    Phone: (312) 587-3500

    Type: Location

  • PO BOX 349

    OAK PARK, IL 603030349

    Phone: (708) 705-9494

    Fax: (708) 386-2768

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 60610)

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Reviews

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Frequently asked questions

Does FULLER HEALTH GROUP LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — FULLER HEALTH GROUP LLC uses 1962647792.
Does the file indicate FULLER HEALTH GROUP LLC is practicing under active NPI?
Directory data currently reports FULLER HEALTH GROUP LLC as active.
What is FULLER HEALTH GROUP LLC's primary classification?
Nutrition Chiropractor is the headline specialty for FULLER HEALTH GROUP LLC here. Clinical services aligned with this taxonomy classification.
Where should I expect FULLER HEALTH GROUP LLC on a map?
Expect Chicago, Illinois as a primary anchor for FULLER HEALTH GROUP LLC unless the record lists multiple sites.
Is the information about FULLER HEALTH GROUP LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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