Individual
ROBIN L FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
820 E 87TH ST, STE 201, CHICAGO, IL 60619-6253
(773) 488-9075
(888) 506-3129
Mailing address
820 E 87TH ST, STE 201, CHICAGO, IL 60619-6253
(773) 488-9075
(888) 506-3129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021794
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679737951
NPI
IL
Enumeration date
02/17/2015
Last updated
09/22/2022
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