Individual
MS. JANET FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
(312) 666-6228
Mailing address
326 S RIDGELAND AVE, OAK PARK, IL 60302-3546
(708) 524-8328
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209-002760
IL
367A00000X
Advanced Practice Midwife
Primary
209002760
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074744-4
—
IL
Enumeration date
07/26/2006
Last updated
08/09/2021
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