Ferguson, Alicia D

Ferguson, Alicia D is an individual health care provider with primary practice located at 2615 Harrison St , Bellwood IL 60104-2450. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ferguson, Alicia D can be contacted via phone (708) 493-0199.

Contact Information

Primary practice address
2615 Harrison St Bellwood IL 60104-2450
Phone: (708) 493-0199
Fax: (708) 493-9683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 070-012669 Illinois

Profile Details

NPI number 1518298769
LBN Legal business name Ferguson, Alicia D
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2010
Last updated Jan 27th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518298769 NPPES
Illinois Other 070-012669 STATE LICENSE

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