Individual
LINDSEY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(540) 542-6208
Mailing address
1775 N SECTOR CT STE 200, WINCHESTER, VA 22601-2859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085012232
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2025
Last updated
07/07/2026
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