Provider Demographics
NPI:1366693418
Name:JAMES C. FERLMANN, M.D., P.C.
Entity Type:Organization
Organization Name:JAMES C. FERLMANN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:FERLMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-922-8825
Mailing Address - Street 1:120 SPALDING DR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6508
Mailing Address - Country:US
Mailing Address - Phone:630-922-8825
Mailing Address - Fax:630-369-8838
Practice Address - Street 1:120 SPALDING DR
Practice Address - Street 2:SUITE 401
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6508
Practice Address - Country:US
Practice Address - Phone:630-922-8825
Practice Address - Fax:630-369-8838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036079730208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1366693418OtherBLUECROSSBLUESHIELD BILLING PROVIDER NPI
IL036079730Medicaid
IL4505664OtherBCBS ID
IL4505664OtherBCBS ID