| James Lewis Ferguson, CNP | |
|
4309 W Medical Center Dr Ste B100, Mchenry, IL 60050 | |
| (815) 344-8585 | |
| (815) 344-8610 |
| Full Name | James Lewis Ferguson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 4309 W Medical Center Dr Ste B100, Mchenry, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841602794 | NPI | - | NPPES |
| 209011623 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209011623 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209011623 (Illinois) | Primary |
| Entity Name | Gi Partners Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548613995 PECOS PAC ID: 2567758295 Enrollment ID: O20160907001020 |
| Mailing Address | Practice Location Address |
|---|---|
| James Lewis Ferguson, CNP 4309 W Medical Center Dr Ste B100, Mchenry, IL 60050-8438 Ph: (815) 344-8585 | James Lewis Ferguson, CNP 4309 W Medical Center Dr Ste B100, Mchenry, IL 60050 Ph: (815) 344-8585 |
Mrs. Josette Dutcher, APRN-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3925 W Elm St, Mchenry, IL 60050 Phone: 800-323-8622 Fax: 224-225-0396 | |
Magaly Nickles, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B305, Mchenry, IL 60050 Phone: 847-802-7400 | |
Lindsay Ann Mattes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Mercy Dr, Mchenry, IL 60050 Phone: 815-363-9900 | |
Katarzyna Maria Brozek, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-344-5000 | |
Nichole N Clark, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Ridgeview Dr, Mchenry, IL 60050 Phone: 815-344-0621 Fax: 815-344-0664 | |
Tanya Tanzillo, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507 N Richmond Rd, Mchenry, IL 60051 Phone: 815-338-6600 Fax: 815-759-4078 | |
Carrie A Hauck, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 |