Individual
ELISABETH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 KENSINGTON RD, SUITE 201, OAK BROOK, IL 60523-2143
(815) 761-2945
Mailing address
1420 KENSINGTON RD, SUITE 201, OAK BROOK, IL 60523-2143
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000617043
TN
103TS0200X
School Psychologist
1802098
IL
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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