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Contact Information

DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
3329 W DEYOUNG ST
MARION, IL62959-5884
 Phone: 618-998-7177
 Fax: 618-998-7175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DEACONESS ILLINOIS SPECIALTY CLINIC INC · (Female)

NPI Number 1386351856
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2022
Last updated 01/26/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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