National Provider Identifier Database

JONATHAN L FERGUSON, MD – NPI #1669452934
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

JONATHAN L FERGUSON, MD
698 FEATHERSTONE RD
ROCKFORD, IL61107-6303
Phone: 815-398-3277
Fax: 815-484-7001
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for JONATHAN L FERGUSON

NPI Number 1669452934
Credentials MD
Entity Individual
Enumeration date 01/20/2006
Last updated 09/21/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036078516
  • IL Medicaid: 036078516
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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