Individual provider · Type 1 NPI

Edrick Jordan Ferguson, MD

Diagnostic Radiology Physician · Canton, IL

NPI number 1659365872 Active

Practice location

210 W Walnut St
Canton, IL 61520-2444

Mailing address

611 W Park St
Urbana, IL 61801-2500

Other practice locations

  • 2804 Battleground Dr, Murfreesboro, Murfreesboro, TN 37129-6492 · (804) 519-3993

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X35079693 (OH)
General Practice Physician 208D00000X26307 (TN)
Diagnostic Radiology Physician Primary 2085R0202X036170509 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

35 other providers at this address

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About NPI 1659365872

Edrick Jordan Ferguson, MD's National Provider Identifier is 1659365872, issued on Sep 2, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Canton, IL. The record was last updated on Dec 23, 2024.