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Dr. Brian Jay Fuller

Nutrition

1010 Lake St Ste 400
Oak Park , Illinois 60301-1135

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Dr. Brian Jay Fuller

Nutrition

1010 Lake St Ste 400
Oak Park , Illinois 60301-1135

(708) 221-7108

Write a Review Save Call

Dr. Brian Jay Fuller

Nutrition

1010 Lake St Ste 400
Oak Park , Illinois 60301-1135

(708) 221-7108 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nutrition

Languages spoken

  • English

Location

1010 Lake St Ste 400 Oak Park , Illinois 60301-1135

First Address

  • Dr. Brian Jay Fuller
  • 1010 Lake St Ste 400
  • Oak Park, IL
  • Zip : 60301-1135
  • Fax : (708) 221-7108
  • Phone : (708) 705-9494

Second Address

  • Dr. Brian Jay Fuller
  • 1010 Lake St Ste 400
  • Oak Park, IL
  • Zip : 60301-1135
  • Fax : (708) 221-7108
  • Phone : (708) 705-9494

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FAQs


Where did Dr. Brian Jay Fuller attend graduate school?

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Where did Dr. Brian Jay Fuller do his residency?

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Where did Dr. Brian Jay Fuller do his fellowship?

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Is Dr. Brian Jay Fuller board certified?

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What type of doctor is Dr. Brian Jay Fuller

Nutrition

In what state does Dr. Brian Jay Fuller practice in?

Illinois

Where is Dr. Brian Jay Fuller ’s practice located?

1010 Lake St Ste 400 , Oak Park, Illinois, 60301-1135

What is Dr. Brian Jay Fuller ’s gender?

Male

Is Dr. Brian Jay Fuller a sole practitioner?

No

Is Dr. Brian Jay Fuller accepting new patients?

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What languages does Dr. Brian Jay Fuller speak?

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Does Dr. Brian Jay Fuller accept insurance?

Yes, Dr. Brian Jay Fuller accepts insurance

Does Dr. Brian Jay Fuller offers telemedicine?

Dr. Brian Jay Fuller has not indicated if he offers telemedicine

What is Dr. Brian Jay Fuller ’s professional license number?

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What is Dr. Brian Jay Fuller ’s NPI number?

1073556544

Does Dr. Brian Jay Fuller have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 111NN1001X Nutrition 038010329 IL

National Provider Identifier

NPI 1073556544
Provider Name Dr. Brian Jay Fuller
First Address Oak Park, IL 60301-1135
Second Address Oak Park, IL 60301-1135
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 13/06/2006
Last Update Date 11/12/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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