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

Mark A Fuller

Individual provider Taxi · NPI 1417470147

Mark A Fuller is a Taxi in Peoria, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

2215 W Willow Knolls Dr Apt 503A
Peoria, IL 61614-1446
Phone: (217) 330-0928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Taxi (primary) Taxonomy 344600000X

Record details

NPI number1417470147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2017
Last updated in NPPESJuly 21, 2022
Mailing address2215 W Willow Knolls Dr Apt 503a, Peoria, IL 61614-1446