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

Dr. Jeffery S Deacon, DPM

Individual provider Podiatrist · NPI 1104919075

Dr. Jeffery S Deacon, DPM is a Podiatry in Marion, Illinois. Graduated from William M. Scholl College of Podiatric Medicine in 1993, 33 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
33
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
IL
In the registry since
2006
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

3403 Professional Park Dr
Marion, IL 62959-6394
Phone: (618) 993-0333
Fax: (618) 993-0545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016004769 (IL)

Record details

NPI number1104919075
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESApril 16, 2008

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 1993 (33 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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