Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Anthony V Deceanne, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1083613293

Dr. Anthony V Deceanne, DPM is a Podiatry in Peoria, Illinois. Qualified in 1988, 38 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
38
Licensed in
IL
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

5017 N Glen Park Place Rd
Peoria, IL 61614-4677
Phone: (309) 691-1589
Fax: (309) 692-2032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016004489 (IL)

Record details

NPI number1083613293
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESMarch 29, 2010
Mailing address435 W Detweiller Dr, Peoria, IL 61615-2116

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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