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

Patrick Barry Renick, MD

Individual provider Family Medicine Physician · NPI 1760604193

Patrick Barry Renick, MD is a Family Practice in Canton, Illinois. Graduated from Saint Louis University School of Medicine in 2005, 21 years ago. Practices with Graham Hospital Association, a 123-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Trained at
Saint Louis University School of Medicine
Licensed in
IL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

180 S Main St
Canton, IL 61520-2608
Phone: (309) 647-0201
Fax: (309) 649-6880
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036119167 (IL)

Record details

NPI number1760604193
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021
Mailing address180 S Main St, Canton, IL 61520-2608

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Graham Hospital Association — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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