NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
4113 S WATER TOWER PL
MOUNT VERNON, IL62864-6293
 Phone: 618-241-9071
 Fax: 618-241-9079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

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

NPI Number 1477260743
LBN Legal business name DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Authorized official KYLE DILLMAN - (SECRETARY TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2022
Last updated 01/26/2023 - 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.

Reviews for DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
2920 VETERANS PARKWAY
MOUNT VERNON, IL
GARY GERST, PA-C
251 NORTH ILLINOIS HIGHWAY 37
INA, IL
JEAN A PHEMISTER, PAC
510 LINCOLN DRIVE
HERRIN, IL
SHERRY C LOCEY, PA-C
1209 WEST ROBINSON
WAYNE, IL
JULIA A BANCROFT, DO
6294 STATE HWY 154
SESSER, IL
NARENDRA K GUPTA, M.D., F.A.C.S.
1054 MARTIN LUTHER KING DRIVE
CENTRALIA, IL
VENERIO M SANTOS, MD
9330 SHATTUC RD
CENTRALIA, IL
PATRICIA M SALMO, PAC
4241 HWY 14 WEST
CHRISTOPHER, IL
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
4241 HWY 14 WEST
CHRISTOPHER, IL
CROSSROADS PHYSICIAN CORP
208 S WASHINGTON STREET
MCLEANSBORO, IL

  View all Doctors & Physicians
v2.403