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NPI Code Detail

MEDICARE: CATHERINE FERGIE

MEDICARE:   CATHERINE  FERGIE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician036.173452IL

General Provider Information

NPI Number : 1235701368
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE FERGIE
Provider Business Mailing Address
First Line : 180 HARVESTER DR STE 110
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-4503
Country : US
Telephone Number : 773-702-1150
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S MARYLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1443
Country : US
Telephone Number : 888-824-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2021
Last Update Date : 06/16/2026

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Directions to “ CATHERINE FERGIE ” Practice Location

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