Individual provider Active NPI

Elaine Ferginia Ferguson, M.D.

  • Family Medicine Physician
  • Bedford Park, IL
National Provider Identifier
1447399290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
6801 W 73Rd St
Room 117
Bedford Park, IL 60499-9201
Phone
(708) 563-7674
Fax
(708) 563-9977
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

6801 W 73Rd St
Room 117
Bedford Park, IL 60499-9201

Mailing address

6801 W 73Rd St
Room 117
Bedford Park, IL 60499-9201
Phone (708) 563-7674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036061653ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alqaim Medical Associates Inc CurrentSince Jun 17, 2026 Accepting new patients
Bartlett Chiropractic Dba Doctors' Center for Integrative Wellness Past Accepting new patients
Lake Zurich Physical Medicine, SC Past Accepting new patients
North Suburban Medical S.C. PastSince Aug 30, 2004 Accepting new patients
Higher Love Ministries Family Services Outreach Center,Inc Past Accepting new patients

Locations

14489 John Humphrey Dr
#1
Orland Park, IL 60462
Phone (708) 364-1205

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447399290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 73RD ST",
            "address_2": "ROOM 117",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604999201",
            "telephone_number": "708-563-7674",
            "fax_number": "708-563-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W 73RD ST",
            "address_2": "ROOM 117",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604999201",
            "telephone_number": "708-563-7674",
            "fax_number": "708-563-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ELAINE",
        "middle_name": "FERGINIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.