ALICIA D FERGUSON (NPI# 1518298769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518298769 |
| Entity Type | Individual |
| Full Name | ALICIA D FERGUSON |
| Credential | PT |
| Practice Address |
2615 Harrison St Bellwood IL 60104-2450 |
| Practice Telephone | 7084930199 |
| Practice Fax Number | 7084939683 |
| Mailing Telephone | 7084930199 |
| Mailing Fax Number | 7084939683 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 070-012669 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 070-012669 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043606668 | Alicia Marie Ferguson | Nurse Anesthetist, Certified Registered | 611 Clipper Ship Ct, Anchorage, AK 99515-3623 | 2015-04-09 |
| 1942528617 | Alicia Ferguson | Registered Nurse | 2666 Merrimac Blvd, Toledo, OH 43606-3640 | 2010-05-05 |
| 1861980815 | Alicia M Ferguson | Student in an Organized Health Care Education/Training Program | 1111 Hayes Ave, Sandusky, OH 44870-3323 | 2018-04-25 |
| Street Address |
2615 HARRISON ST |
| City | BELLWOOD |
| State | IL |
| Zip Code | 60104-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457344657 | Occu - Sports Med Corp | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2005-08-24 |
| 1558842773 | Nicholas Michael Mchugh | Physician Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-08-25 |
| 1770086480 | Occupational Health Centers of Illinois PC | Clinic/Center | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-03-09 |
| 1164925871 | American Current Care of Illinois PC | Clinic/Center | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-03-09 |
| 1497206676 | Joel Starzyk | Physical Therapy Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2016-10-21 |
| 1861941163 | U.S. Healthworks Medical Group of Illinois, PC | Preventive Medicine | 2615 Harrison St, Bellwood, IL 60104-2450 | 2016-09-27 |
| 1821414939 | Elis X Rodriguez | Specialist/Technologist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2014-03-13 |
| 1104259126 | Brian B Minardi | Physician Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2013-08-13 |
| 1134551518 | Joe Mattingly | Specialist/Technologist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2013-08-07 |
| 1215273834 | Advanced Occupational Medicine Specialists | Internal Medicine | 2615 Harrison St, Bellwood, IL 60104 | 2012-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538682232 | Juanita Erica Williams | Non-emergency Medical Transport (VAN) | 622 Bohland Ave, Bellwood, IL 60104 | 2017-07-25 |
| 1548680887 | Edward Erlikh | Family Medicine | 456 25th Ave, Bellwood, IL 60104 | 2014-04-25 |
| 1649472333 | American Family Dental Care P.c | Dentist | 4209.st.charles Road, Bellwood, IL 60104 | 2007-06-04 |
| 1235291287 | Lary Michael Pane | Dentist | 4420 St Charles Road, Bellwood, IL 60104 | 2006-12-15 |
| 1356411136 | Westchester Family Dental Ltd | Dentist | 4 Westbrook Corporate Center Ste 102, Westchester, IL 60104 | 2006-11-08 |
| 1750450128 | Sethurama Muthuramaswami | Dentist | 4209.st. Charles Road, Bellwood, IL 60104 | 2006-11-07 |
| 1508966466 | Universal Transportation II | Secured Medical Transport (VAN) | 2843 Washington Blvd, Bellwood, IL 60104 | 2006-09-22 |
| 1437103512 | Modupe Oladeinde | Family Medicine | 619 South 25th Avenue, Bellwood, IL 60104 | 2006-05-21 |
| 1811533953 | United Methodist Homes and Services | Physical Therapist | 439 Bohland Ave, Bellwood, IL 60104 | 2019-11-25 |
| 1740690668 | Hiram Kirkendall Jr. | Counselor | 510 Geneva Ave, Bellwood, IL 60104 | 2014-04-30 |
| Find all providers in zip 60104 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457344657 | Occu - Sports Med Corp | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2005-08-24 |
| 1073813507 | Julie Grobbelaar Fernandes | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2010-11-01 |
| 1285964700 | Richard L Dahl | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2010-01-06 |
| 1720224272 | Dawn Garcia | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2009-01-05 |
| 1811006315 | Rajeev Khanna | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2006-08-29 |
| 1588675771 | Dipa Dungarani | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850730 | Nirvana Medspa and Laser Center, Ltd | Specialist | 11801 Southwest Hwy Ste 2n, Palos Heights, IL 60463-1069 | 2020-10-27 |
| 1801402938 | Terri Sendelbach | Specialist | 340 W Butterfield Rd Ste 4b-418, Elmhurst, IL 60126-5069 | 2020-09-23 |
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1891356176 | Kristin Michelle Stahlheber | Specialist | 6718 Goshen Rd, Edwardsville, IL 62025-3025 | 2019-06-26 |
| 1689238438 | Sara Sladoje | Specialist | 936 Raleigh Rd, Glenview, IL 60025-4330 | 2019-04-26 |
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1962979286 | Time 2 Talk, LLC | Specialist | 6791 Wesley Chapel Rd, Chatham, IL 62629-9722 | 2018-10-24 |
| 1871068783 | Kelsey Lynn Mora | Specialist | 5225 Old Orchard Rd Ste 14, Skokie, IL 60077-1027 | 2018-10-06 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.