Individual
JAMES LEWIS FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
4309 W MEDICAL CENTER DR STE B100, MCHENRY, IL 60050
(815) 344-8585
(815) 344-8610
Mailing address
4309 W MEDICAL CENTER DR STE B100, MCHENRY, IL 60050-8438
(815) 344-8585
(815) 344-8610
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209011623
IL
363LF0000X
Family Nurse Practitioner
Primary
209011623
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209011623
STATE LICENSE
IL
Enumeration date
05/27/2014
Last updated
06/27/2018
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