Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas L Fulk, MD

Individual provider Diagnostic Radiology Physician · NPI 1992780050

Dr. Douglas L Fulk, MD is a Diagnostic Radiology in Carbondale, Illinois. Graduated from Saint Louis University School of Medicine in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
33
Trained at
Saint Louis University School of Medicine
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 Cedar Ct
Carbondale, IL 62901-5334
Phone: (618) 529-8500
Fax: (618) 549-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036091745 (IL)

Record details

NPI number1992780050
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 13, 2005
Last updated in NPPESMarch 9, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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