Benjamin Fergus, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012514 Issued in IL

Practice address

1030 Davis St Ste 100
Evanston, IL 60201-3702

Phone

(847) 868-9609

Fax

(847) 440-5476

NPI assigned

Oct 1, 2013

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Health Company

  • Chiropractor
  • Evanston, IL
  • NPI 1528483278
  Medicare reassignment NPD Authorized official
• Repair Room LLC

  • Chiropractor
  • Skokie, IL
  • NPI 1295279719
  NPD (past) Authorized official

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1770910069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 DAVIS ST STE 100",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013702",
            "telephone_number": "847-868-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 DAVIS ST STE 100",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013702",
            "telephone_number": "847-868-9609",
            "fax_number": "847-440-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUS",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph L Feldman, MD
• Scott Feldman, MD
• Ted E Feldman, M.D.
• Dana Lynn Fenceroy, MA IN MENTAL HEALTH
• Kristen Sweas Fenton, LCSW
• Eugene D Fernandes, M.D.
• Laura Ileana Fernandez Morales, MD
• Eric O Fernandez, MD
• Sandra K Fernbach, MD
• Hector Ferral, M.D.

• Chiropractor in Evanston, IL
• Providers in Evanston, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.