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MR. JOHN ALLAN CLAYTON FULLING IDC
NPI 1083873905
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since June 05, 2008
2410 SAMPSON ST, FISHER BMC #237, GREAT LAKES, IL 60088(847) 688-5556(847) 688-2512 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Allan Clayton Fulling Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN ALLAN CLAYTON FULLING IDC (NPI 1083873905) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1083873905
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JOHN ALLAN CLAYTON FULLINGCredential: IDC
Location Address2410 SAMPSON ST, FISHER BMC #237Great Lakes, IL 60088
Mailing Address2524 N Poplar StWaukegan, IL 60087-3127 · (619) 203-7508 · Fax (847) 688-2512
Phone(847) 688-5556
Fax(847) 688-2512
Sole ProprietorYes
Enumeration DateJune 5, 2008
✔ NPI 1083873905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
2410 SAMPSON ST, Great Lakes, IL 60088
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCAS WILLIAMS DMD
Dentist
2410 SAMPSON ST
NORTH CHICAGO, IL 60088
Lake County (647) 688-2469
SHANNAN JESSE WALKER DDS
Dentist
2410 SAMPSON ST
GREAT LAKES, IL 60088
Lake County (847) 688-3331
ALEJANDRA RUIZ ORNELAS DDS
Dentist
2410 SAMPSON ST
NORTH CHICAGO, IL 60088
Lake County (847) 688-2469
JENNIFER ANN SELUZICKI WEST
Dentist (General Practice)
2410 SAMPSON ST
NORTH CHICAGO, IL 60088
Lake County (847) 688-2469
ROSS EVAN BAKER DDS
Dentist (General Practice)
2410 SAMPSON ST
NORTH CHICAGO, IL 60088
Lake County (847) 688-2469
MR. JOHNNY IFOPO
Specialist/Technologist, Other
2410 SAMPSON ST
GREAT LAKES, IL 60088
Lake County (520) 490-5187
MRS. SAMANTHA L CHANG DMD
Dentist (General Practice)
2410 SAMPSON ST
GREAT LAKES, IL 60088
Lake County (847) 688-2469
MR. LUIS VICTOR FERNANDEZ
Military Health Care Provider (Independent Duty Corpsman)
2410 SAMPSON ST
GREAT LAKES, IL 60088
Lake County (847) 688-2469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Fulling's NPI number?

The NPI number for John Fulling is 1083873905. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is John Fulling located?

John Fulling practices at 2410 Sampson St Fisher Bmc #237, Great Lakes, IL 60088. The listed phone number is (847) 688-5556.

What is John Fulling's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for John Fulling was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.