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Export Provider Record NPI 1063745883
Nona Fulk, M.d., S.c.
Organization Subpart: NO
Active
NPI Number1063745883
NPI TypeNPI-2 Organization
SpecialtyObstetrics & Gynecology
Provider Details
NPI1063745883
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2009-09-11
Last Updated2024-02-28
Authorized OfficialNona Fulk
President
Phone: 3098262966
Mailing Address1300 Franklin Ave Ste 330
Normal, IL 61761-4204
United States
Phone: (309) 808-0940 | Fax: (309) 808-0799
📍 View Map
Primary Practice Address1300 Franklin Ave Ste 330
Normal, IL 61761-4204
United States
Phone: (309) 808-0940
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207V00000X – Obstetrics & GynecologyIL36-096101
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About NPI 1063745883

Nona Fulk, M.d., S.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1063745883. The primary specialty listed is Obstetrics & Gynecology. The organization is located in Normal, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-09-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063745883?

NPI 1063745883 belongs to Nona Fulk, M.d., S.c., a Obstetrics & Gynecology in Normal, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063745883 active?

The current status of NPI 1063745883 in the NPPES registry is Active. The record was last updated on 2024-02-28.

What specialty is NPI 1063745883?

NPI 1063745883 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063745883?

You can verify NPI 1063745883 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063745883?

The primary practice address on file for NPI 1063745883 is 1300 Franklin Ave Ste 330, Normal, IL 61761-4204. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063745883 issued?

NPI 1063745883 was first issued (enumerated) on 2009-09-11. The NPPES record was last updated on 2024-02-28.

Practice Location Map

Nona Fulk, M.d., S.c. is located at 1300 Franklin Ave Ste 330, Normal, IL. Use the map below to find directions or verify the practice location.

📍 1300 Franklin Ave Ste 330, Normal, IL 61761-4204  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Nona Fulk, M.d., S.c.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063745883. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Obstetrics & Gynecology36-096101IL
Data Verified from CMS NPPES Last synced: 2026-08-02 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162