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1467577874
MPFERGUS, SC
PLAINFIELD, IL
NPI
1467577874
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Entity Type
Organization
Authorized Contact
MICHAEL P FERGUS
Owner
630-253-8814
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: IL 042.618333)
Enumeration Date
2007-03-21
Last Update Date
2008-04-10
Business Address
MPFERGUS, SC
13025 CONIFER ST
PLAINFIELD, IL 60585-2989
Phone number: 630-253-8814
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Mailing Address
MPFERGUS, SC
PO BOX 986
PLAINFIELD, IL 60544-0986
Phone number: 630-253-8814
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