Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFERY S DEACON, DPM
Active Sole ProprietorDR. JEFFERY S DEACON, DPM is a Podiatrist healthcare provider located in MARION, Illinois. NPI 1104919075 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · MARION, IL
Registration Details
- NPI Number
- 1104919075
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.906652305099 yrs)
- Last Updated
- Apr 16, 2008
- License
-
016004769 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3403 PROFESSIONAL PARK DRMARION, IL, 629596394Browse IL providers · Browse ZIP 62959
- Phone
- 6189930333
- Fax
- 6189930545
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in MARION, IL
| Name | Credential | NPI |
|---|---|---|
| WILLIAM P. HESS SR. | D.P.M. | 1669579462 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.