Jonathan L. Ferguson, MD
Otolaryngology, Plastic Surgery within the Head & Neck in Rockford, IL. Individual provider (NPI-1).
NPI number1669452934
StatusActive
Last updated in NPPESSep 21, 2011
Details
- NPI
- 1669452934
- Entity type
- Individual (NPI-1)
- Name
- Jonathan L. Ferguson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2006
- Last updated
- Sep 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | 036078516 | IL | Yes |
Practice location
698 Featherstone RdRockford, IL 61107-6303
Phone 815-398-3277 · Fax 815-484-7001
Mailing address
698 Featherstone RdRockford, IL 61107-6303
Phone 815-398-3277 · Fax 815-484-7001
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