Michael Patrick Fergus, DC, DACBR

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

038-008518 Issued in IL

Practice address

13025 Conifer St
Plainfield, IL 60585-2989

Phone

(815) 436-4986

Fax

(815) 230-2608

NPI assigned

Jul 19, 2005

Last updated

Jul 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mpfergus, SC

  • Clinic/Center
  • Plainfield, IL
  • NPI 1467577874
  Authorized official Same address or phone
• Physical Medicine Associates SC

  • Family Medicine Physician
  • Geneva, IL
  • NPI 1477546935
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1124027354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13025 CONIFER ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852989",
            "telephone_number": "815-436-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13025 CONIFER ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852989",
            "telephone_number": "815-436-4986",
            "fax_number": "815-230-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUS",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC, DACBR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "IL",
            "license": "038-008518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932261",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fantastic Speech & Language Therapy PLLC
• Jessica Farina
• Gayle Lynne Farmer
• Jillian Febel
• Patricia Ann Ferdon
• Katrina Ferracane, PMHNP
• Traci Melinda Fertel
• Amanda Jane Ficht, M.S. OTR
• Diana Lili Figueroa
• Alyssa Fijalkowski

• Radiology Chiropractor in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Radiology Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.