Dr. Eric Bradley Fuller
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
225 E Chicago Ave Box 69
Chicago
, Illinois 60611-2991
Dr. Eric Bradley Fuller
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
225 E Chicago Ave Box 69
Chicago
, Illinois 60611-2991
(312) 227-6190
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Eric Bradley Fuller
- 225 E Chicago Ave Box 69
- Chicago, IL
- Zip : 60611-2991
- Phone : (312) 227-6190
Second Address
- Dr. Eric Bradley Fuller
- 225 E Chicago Ave Box 69
- Chicago, IL
- Zip : 60611-2991
- Phone : (312) 227-6190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 125-058032 | IL |
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 036.132558 | IL |
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | 137416 | CA |
National Provider Identifier
| NPI | 1194036210 |
|---|---|
| Provider Name | Dr. Eric Bradley Fuller |
| First Address | Chicago, IL 60611-2991 |
| Second Address | Chicago, IL 60611-2991 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2010 |
| Last Update Date | 06/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.