IndividualActive
Edrick Ferguson, M.D.
NPI 1659365872 · Diagnostic Radiology Physician · Canton, IL
Provider details
- NPI number
- 1659365872
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35079693 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
210 W Walnut St
Canton, IL 61520-2444
Phone: (309) 647-5240
Approximate (ZIP-level) locationGet directions
Mailing address
611 W Park St
Urbana, IL 61801-2500
Additional practice locations (1)
- 2804 Battleground DrMurfreesboroMurfreesboro, TN 37129-6492Phone: (804) 519-3993Fax: (423) 837-9547
Registry dates
- Enumerated
- 2005-09-02
- Last updated
- 2024-12-23
- Certified
- 2024-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.