Search › Illinois › 101YA0400X
Carlton Ferguson, CADC #31124
NPI 1407677941 · on the registry since 2024 · sole proprietor
Practice
- Address
- 614 W Marquette Rd Apt 1a
Chicago, IL 60621 - Phone
- (312) 343-8952
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YP2500X
106H00000X
171M00000X
172V00000X
175T00000X
302F00000X
305S00000X
405300000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois