Organization
MPFERGUS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P FERGUS DC (OWNER)
(630) 253-8814
Entity
Organization
Contact information
Practice address
13025 CONIFER ST, PLAINFIELD, IL 60585-2989
(630) 253-8814
(815) 230-2608
Mailing address
PO BOX 986, PLAINFIELD, IL 60544-0986
(630) 253-8814
(815) 230-2608
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
042.618333
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932261
BCBS
IL
Enumeration date
03/21/2007
Last updated
04/10/2008
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