Individual provider · Type 1 NPI

Tracy C. Fuller, PA-C

Physician Assistant · Evanston, IL

NPI number 1386994408 Active

Practice location

2650 Ridge Ave, Emergency Department: Physician Assistants
Evanston, IL 60201-1718

Call (847) 570-1353 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.004406 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386994408

Tracy C. Fuller, PA-C's National Provider Identifier is 1386994408, issued on Sep 17, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Evanston, IL. The record was last updated on Mar 23, 2018.