Phyllis Ferguson-collum (NPI# 1902202054, PAC ID# 4981960549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1902202054 |
| PAC ID by PECOS | 4981960549 |
| Professional Enrollment ID | I20171114003600 |
| Full Name | Phyllis Ferguson-collum |
| Organization Legal Name | WELLQOR PSYCHOLOGICAL SERVICES OF ILLINOIS PC |
| Address |
1651 Richfield Rd Highland Park IL 60035-2950 |
| Phone Number | 2247650094 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2769751999 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1651 Richfield Rd, Highland Park, IL 60035-2950 | 2247650094 | WELLQOR PSYCHOLOGICAL SERVICES OF ILLINOIS PC |
| Organization Legal Name | WELLQOR PSYCHOLOGICAL SERVICES OF ILLINOIS PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Johnson | Clinical Social Worker | Wellqor Psychological Services of Illinois PC | 1030 Aurora Ave, Naperville, IL 60540-6277 |
| Robin Leigh Zoeller Pullman | Psychologist, Clinical | Wellqor Psychological Services of Illinois PC | 22320 Classic Ct, Lake Barrington, IL 60010-5903 |
| Street Address |
1651 RICHFIELD RD |
| City | HIGHLAND PARK |
| State | IL |
| Zip | 60035-2950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Bishop | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Paul D Schroeder | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Robert W Sharp | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Carla M Thomas | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Eva G Martinez | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Alex Bendersky | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Robert Cesario | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Richard B Colosi | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Joshua J Smith | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Kayla Epperson | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Find all physicians in zip 60035 | |||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | HIGHLAND PARK + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Phyllis Ferguson-collum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.