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DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Interventional Cardiology

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

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Contact Information

DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
509 HAMACHER ST
WATERLOO, IL  62298-1592
 Phone: 618-939-4200
 Fax: 618-939-4256
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

 207RI0011X 11 Physician/Internal Medicine
 

Nurse Practitioner

 363L00000X 50 Nurse Practitioner
 

Orthopaedic Surgery

 207X00000X 02 Physician/General Surgery
 

Physician Assistant

 363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

NPI Number 1336856806
LBN Legal business name DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Authorized official KYLE DILLMAN - (SECRETARY TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2022
Last updated 06/07/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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