Individual
SAMANTHA J FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
1200 S YORK ST STE 2000, ELMHURST, IL 60126-5634
(331) 221-9003
(331) 221-2775
Mailing address
1200 S YORK ST STE 2000, ELMHURST, IL 60126-5634
(331) 221-9003
(331) 221-2775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018376
IL
Other
Enumeration date
09/08/2020
Last updated
05/06/2024
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