Mr. John Allan Clayton Fulling, IDC
Mr. John Allan Clayton Fulling, IDC is an Independent Duty Corpsman in Great Lakes, Illinois. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
2410 Sampson St Fisher Bmc #237Great Lakes, IL 60088
Phone: (847) 688-5556
Fax: (847) 688-2512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1083873905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2008 |
| Last updated in NPPES | June 5, 2008 |
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