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MARK A FULLER
NPI 1417470147
Taxi in Peoria, IL

Active since July 25, 2017
2215 W WILLOW KNOLLS DRIVE, APT 503A, PEORIA, IL 61614(217) 330-0928 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 25, 2017 (2 updates tracked since 2017).

About Mark A Fuller NPPES

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

MARK A FULLER (NPI 1417470147) is an individual taxi provider in Peoria, Illinois and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1417470147
Entity TypeIndividualMale
Primary Taxonomy344600000X
Provider Legal NameMARK A FULLER
Location Address2215 W WILLOW KNOLLS DRIVE, APT 503APeoria, IL 61614-1446
Mailing Address2215 W Willow Knolls Dr Apt 503aPeoria, IL 61614-1446 · (217) 330-0928
Phone(217) 330-0928
Sole ProprietorYes
Enumeration DateJuly 25, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1417470147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTaxiTransportation Services
Taxonomy Code344600000X
Definition
A land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located.
2215 W WILLOW KNOLLS DRIVE, Peoria, IL 61614
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Other Identifiers 1

Medicaid82-2237856IL

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 Mark Fuller's NPI number?

The NPI number for Mark Fuller is 1417470147. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Mark Fuller located?

Mark Fuller practices at 2215 W Willow Knolls Drive Apt 503A, Peoria, IL 61614. The listed phone number is (217) 330-0928.

What is Mark Fuller's specialty?

The primary specialty registered for this NPI is Taxi with taxonomy code 344600000X.

When was this NPI record last updated?

The NPPES record for Mark Fuller was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.