Jeffery S. Deacon, DPM
Podiatrist · Marion, IL
Practice location
3403 Professional Park DrMarion, IL 62959-6394
- Phone
- (618) 993-0333
- Fax
- (618) 993-0545
NPI record
- NPI
- 1104919075
- Entity type
- Individual (Type 1)
- Enumeration date
- October 2, 2006
- Last updated
- April 16, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X |
016004769 | IL |
About Dr. Deacon
Jeffery S. Deacon, DPM is a healthcare provider registered in the NPI registry with the primary taxonomy Podiatrist (code 213E00000X). The practice location is 3403 Professional Park Dr, Marion, IL 62959-6394. The NPI number 1104919075 was assigned on October 2, 2006 and the record was last updated on April 16, 2008.
Dr. Deacon lists a license in the registry: #016004769 (IL) for Podiatrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jeffery S. Deacon, DPM?
The NPI number is 1104919075.
What is the phone number of Dr. Deacon?
The phone number listed for the practice location is (618) 993-0333.
Where is Dr. Deacon located?
3403 Professional Park Dr, Marion, IL 62959-6394.
What is the taxonomy code for Dr. Deacon?
The primary taxonomy code is 213E00000X – Podiatrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Podiatrist providers in Marion
- William P. Hess Sr., D.P.M.1506 W Main St