Individual
DR. MICHAEL PATRICK FERGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, DACBR
Contact information
Practice address
13025 CONIFER ST, PLAINFIELD, IL 60585-2989
(815) 436-4986
(815) 230-2608
Mailing address
13025 CONIFER ST, PLAINFIELD, IL 60585-2989
(815) 436-4986
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
038-008518
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932261
BCBS
IL
Enumeration date
07/19/2005
Last updated
07/13/2015
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