Organization Active NPI

Mpfergus, SC

  • Clinic/Center
  • Plainfield, IL
National Provider Identifier
1467577874
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
042.618333 Issued in IL
Legal business name
MPFERGUS, SC
Practice address
13025 Conifer St
Plainfield, IL 60585-2989
Phone
(630) 253-8814
Fax
(815) 230-2608
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Michael P Fergus, DC
Title
Owner
Phone
(630) 253-8814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 042.618333 IL Primary

Addresses

Primary practice location

13025 Conifer St
Plainfield, IL 60585-2989

Mailing address

PO Box 986
Plainfield, IL 60544-0986
Phone (630) 253-8814

Other identifiers 1

IdentifierTypeStateIssuer
9932261OtherILBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1467577874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605440986",
            "telephone_number": "630-253-8814",
            "fax_number": "815-230-2608"
        },
        {
            "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": "630-253-8814",
            "fax_number": "815-230-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPFERGUS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "FERGUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-253-8814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "042.618333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932261",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.