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Fulfilling Life Pllc
Family Medicine Physician in Edwardsville, Illinois
NPI 1922796408

Fulfilling Life Pllc is a Family Medicine Physician based in Glen Carbon, IL. Fulfilling Life Pllc practices in Edwardsville, IL. The NPI Number for Fulfilling Life Pllc is 1922796408 and holds a License No. (Illinois).

The current practice location address for Fulfilling Life Pllc is 3 Club Centre Ct Ste B1, Edwardsville, IL and can be reached out via phone at 618-699-4402 and via fax at 618-590-8199.

Location: 3 Club Centre Ct Ste B1, Edwardsville, IL, 62034-2965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922796408
Provider Name
Fulfilling Life Pllc
Credential
Provider Entity Type
Organization
Address
3 Club Centre Ct Ste B1, Edwardsville, IL, 62034-2965
Phone Number
618-699-4402
Fax Number
618-590-8199
Provider Enumeration Date
04/24/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3 Club Centre Ct Ste B1
City
Edwardsville
State
Illinois
Zip
62025-3519
Phone Number
618-699-4402
Fax Number
618-590-8199
person
Provider Business Mailing Address Details
Address
3 Club Centre Ct Ste B1
City
Edwardsville
State
Illinois
Zip
62025-3519
Phone Number
618-699-4402
Fax Number
618-590-8199
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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