DR. JOHN M FULTZ II M.D.
NPI 1679664163
Internal Medicine in Evanston, IL

Active since September 27, 2006
1314 CHURCH ST, EVANSTON, IL 60201(773) 275-6349(773) 275-6385 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John M Fultz Ii M.d. NPPES

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

DR. JOHN M FULTZ II M.D. (NPI 1679664163) is an individual internal medicine provider in Evanston, Illinois, licensed in Illinois (036042979) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1679664163
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN M FULTZ IICredential: M.D.
Location Address1314 CHURCH STEvanston, IL 60201-3508
Mailing Address1314 Church StEvanston, IL 60201-3508 · (773) 275-6349 · Fax (773) 275-6385
Fax(773) 275-6385
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJanuary 6, 2017
NPI 1679664163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036042979
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1314 CHURCH ST, Evanston, IL 60201

Other Identifiers 7

Medicaid036042979IL
Medicare PIN613910IL
Medicare UPIND13905IL
Other14D0876728IL · Clia Id Medicare
Other792111199IL · Railroad Medicare Id
Other21608069IL · Bcbs Ins Id
Other363179161IL · Tax Id

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 Fultz's NPI number?

The NPI number for John Fultz is 1679664163. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is John Fultz located?

John Fultz practices at 1314 Church St, Evanston, IL 60201. The listed phone number is (773) 275-6349.

What is John Fultz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for John Fultz was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.