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Individual

LINDA L FERRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5450
(630) 352-5499
Mailing address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5450
(630) 352-5499

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036107361
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036107361
IL
01
206147063
MEDICARE PTAN
IL
01
P00962418
MEDICARE RAILROAD PTAN (GROUP)
IL
Enumeration date
01/17/2006
Last updated
01/22/2013
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