DR. IRVING FULD MD NPI 1508885567

NPI Information

DR. Irving Fuld, MD is a diagnostic radiology radiology in Evergreen, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Irving Fuld, MD NPI is 1508885567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2800 W 95TH STREET
LITTLE COMPANY OF MARY HOSPITAL
EVERGREEN, IL
ZIP 60805
Phone: (708) 229-5104
Fax: (630) 323-1699

The NPI 1508885567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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