Individual
DR. ELAINE FERGINIA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6801 W 73RD ST, ROOM 117, BEDFORD PARK, IL 60499-9201
(708) 563-7674
(708) 563-9977
Mailing address
6801 W 73RD ST, ROOM 117, BEDFORD PARK, IL 60499-9201
(708) 563-7674
(708) 563-9977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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