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Contact Information

JONATHAN L FERGUSON, MD
698 FEATHERSTONE RD
ROCKFORD, IL61107-6303
 Phone: 815-398-3277
 Fax: 815-484-7001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JONATHAN L FERGUSON · (Male)

NPI Number 1669452934
Status Active
Credentials MD
Entity Individual
Enumeration date 01/20/2006
Last updated 09/21/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036078516
  • IL Medicaid 036078516
Hospital affiliation(s)
  • SAINT ANTHONY MEDICAL CENTER - (Acute Care)
    5666 EAST STATE STREET
    ROCKFORD, IL 61108
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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