William Lewis Fulcher
Internist Family Doctor - Adult Medicine
2211 Sanders Rd Nbt 15
Northbrook
, Illinois 60062-6150
William Lewis Fulcher
Internist Family Doctor - Adult Medicine
2211 Sanders Rd Nbt 15
Northbrook
, Illinois 60062-6150
(847) 559-4950
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About
Features
Specialties
- Family Doctor - Adult Medicine
- Internist
Languages spoken
- English
Location
First Address
- William Lewis Fulcher
- 2211 Sanders Rd Nbt 15
- Northbrook, IL
- Zip : 60062-6150
- Fax : (847) 559-4950
- Phone : (847) 559-3891
Second Address
- William Lewis Fulcher
- 2211 Sanders Rd Nbt 15
- Northbrook, IL
- Zip : 60062-6150
- Fax : (847) 559-4950
- Phone : (847) 559-3891
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0505X | Family Doctor - Adult Medicine | 036129102 | IL |
| N | 207QA0505X | Family Doctor - Adult Medicine | 36296 | AZ |
| Y | 207R00000X | Internist | 11090 | AL |
| Y | 111NI0900X | Internist | 11090 | AL |
National Provider Identifier
| NPI | 1295779353 |
|---|---|
| Provider Name | William Lewis Fulcher |
| First Address | Northbrook, IL 60062-6150 |
| Second Address | Northbrook, IL 60062-6150 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 31/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009985835 | (05) | AL |
| 036129102 | LICENSE (01) | IL |
| 051035000 | BLUE CROSS (01) | AL |
| 36296 | LICENSE (01) | AZ |
| D32810 | (02) | IL |
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.