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Carolyn Ferguson

NPI 1871720961 · on the registry since 2009 · sole proprietor

Practice

Address
4136 Grand Ave
Western Springs, IL 60558
Phone
(708) 505-4364

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois