Dr. Brian Jay Fuller
Nutrition
1010 Lake St Ste 400
Oak Park
, Illinois 60301-1135
(708) 221-7108
Write a Review Share Save Call
About
Features
Language(s) Spoken
English
Ethnic Identity
White / Caucasian
Specialties
- Nutrition
Languages spoken
- English
Location
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
Reviews
FAQs
Where did Dr. Brian Jay Fuller attend graduate school?
Provider has not completed his profile. If you are Dr. Brian Jay Fuller, click here to claim your profile
Where did Dr. Brian Jay Fuller do his residency?
Provider has not completed his profile. If you are Dr. Brian Jay Fuller, click here to claim your profile
Where did Dr. Brian Jay Fuller do his fellowship?
Provider has not completed his profile. If you are Dr. Brian Jay Fuller, click here to claim your profile
Is Dr. Brian Jay Fuller board certified?
Provider has not completed his profile. If you are Dr. Brian Jay Fuller, click here to claim your profile
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?
Provider has not completed his profile. If you are Dr. Brian Jay Fuller, click here to claim your profile
What languages does Dr. Brian Jay Fuller speak?
Provider has not completed his profile. If you are Dr. Brian Jay Fuller, click here to claim your profile
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?
Provider has not completed his profile. If you are Dr. Brian Jay Fuller, click here to claim your profile
What is Dr. Brian Jay Fuller ’s NPI number?
1073556544
Does Dr. Brian Jay Fuller have any license restrictions?
Provider has not completed his profile. If you are Dr. Brian Jay Fuller, click here to claim your profile
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)
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.
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.