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Organization
MERVIN J. WEIS & BRUCE L. FERGUSON MD, SC
Active
Organization
MERVIN J. WEIS & BRUCE L. FERGUSON MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE L. FERGUSON MD (DOCTOR)
(773) 769-4413
Entity
Organization
Contact information
Practice address
4640 N MARINE DR, STE C 6100, CHICAGO, IL 60640-5719
(773) 769-4413
(773) 769-5140
Mailing address
4640 N MARINE DR, STE C 6100, CHICAGO, IL 60640-5719
(773) 769-4413
(773) 769-5140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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