Ferguson, James Lewis

Ferguson, James Lewis is an individual health care provider with primary practice located at 4309 W Medical Center Dr Ste B100 , Mchenry IL 60050. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Ferguson, James Lewis can be contacted via phone (815) 344-8585.

Contact Information

Primary practice address
4309 W Medical Center Dr Ste B100 Mchenry IL 60050
Phone: (815) 344-8585
Fax: (815) 344-8610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209011623 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209011623 Illinois

Profile Details

NPI number 1841602794
LBN Legal business name Ferguson, James Lewis
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2014
Last updated Jun 27th, 2018 - about 6 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 1841602794 NPPES
Illinois Other 209011623 STATE LICENSE

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