IndividualActive
Glen Feather, DO
NPI 1962492900 · Pain Medicine (Anesthesiology) Physician · Canton, IL
Provider details
- NPI number
- 1962492900
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036079920 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
2907 W Wardcliffe Dr
Peoria, IL 61604-2157
Additional practice locations (1)
- 1024 N Magnolia StElmwood, IL 61529-9602Phone: (309) 742-6334Fax: (309) 649-6880
Registry dates
- Enumerated
- 2005-10-21
- Last updated
- 2019-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.