Most Relevant Information
Provider Data
| NPI Number: | 1003300682 |
| Provider Name: | BOBIEJO AVA FERGUSON BRYAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 125.072453 |
Most Important Dates
| Enumeration Date: | 06/18/2018 |
| Last Updated: | 06/18/2018 |
Provider Practice Location
5841 S MARYLAND AVE # MC6040
CHICAGO
IL
606371443
Practice Location Phone/Fax
| Phone: | 7737021000 |
| Fax: | 7737022140 |
Provider Mailing Location
180 HARVESTER DR STE 110
BURR RIDGE
IL
605274503
Provider Mailing Phone/Fax
| Phone: | 7737021150 |
| Fax: |
Suggested EMR
Surgeon EMR