Dr ANDREA B FULCOMER is a female medical professional, specializing in Physician Assistant. She graduated in 1998.
SWEDISHAMERICAN HOSPITAL
5665 N JUNCTION WAY
SA DAVIS JUNCTION
DAVIS JUNCTION
IL
610209433
Tel: 7796969200
| Npi | 1972552131 |
| Pac Id | 2567642655 |
| Professional Enrollment Id | I20161222000825 |
| Last Name | FULCOMER |
| First Name | ANDREA |
| Middle Name | B |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | SWEDISHAMERICAN HOSPITAL |
| Group Practice Pac Id | 5799698346 |
| Number Of Group Practice Members | 208 |
| Line 1 Street Address | 5665 N JUNCTION WAY |
| Line 2 Street Address | SA DAVIS JUNCTION |
| Marker Of Address Line 2 Suppression | |
| City | DAVIS JUNCTION |
| State | IL |
| Zip Code | 610209433 |
| Phone Number | 7796969200 |
| Hospital Affiliation Ccn 1 | 140228 |
| Hospital Affiliation Lbn 1 | SWEDISH AMERICAN HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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