IndividualActive
Brent Parry, DPM
NPI 1891794004 · Foot & Ankle Surgery Podiatrist · Canton, IL
Provider details
- NPI number
- 1891794004
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 016004894 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
180 S Main St
Canton, IL 61520-2608
Phone: (309) 647-0201
Fax: (309) 649-6880
Approximate (ZIP-level) locationGet directions
Mailing address
180 S Main St
Canton, IL 61520-2608
Registry dates
- Enumerated
- 2005-07-19
- Last updated
- 2021-04-08
- Certified
- 2021-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.