Mpfergus, Sc | |
13025 Conifer St Plainfield IL 60585-2989 | |
(630) 253-8814 | |
(815) 230-2608 |
Full Name | Mpfergus, Sc |
---|---|
Speciality | Clinic/center |
Location | 13025 Conifer St, Plainfield, Illinois |
Authorized Official Name and Position | Michael P Fergus (OWNER) |
Authorized Official Contact | 6302538814 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mpfergus, Sc Po Box 986 Plainfield IL 60544-0986 Ph: (630) 253-8814 | Mpfergus, Sc 13025 Conifer St Plainfield IL 60585-2989 Ph: (630) 253-8814 |
NPI Number | 1467577874 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 04/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467577874 | NPI | - | NPPES |
9932261 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 042.618333 (Illinois) | Primary |
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