# MPFERGUS, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467577874
- **Authorized official:** DR. MICHAEL P FERGUS DC (OWNER)
- **Authorized official phone:** (630) 253-8814

## Contact information

- **Practice address:** 13025 CONIFER ST, PLAINFIELD, IL 60585-2989
- **Practice address phone:** (630) 253-8814
- **Practice address fax:** (815) 230-2608
- **Mailing address:** PO BOX 986, PLAINFIELD, IL 60544-0986
- **Mailing address phone:** (630) 253-8814
- **Mailing address fax:** (815) 230-2608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 042.618333 | IL | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 04/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 9932261 | BCBS | IL |