DEACONESS ILLINOIS CROSSROADS INC; NPI #1548986839

Contact Information

DEACONESS ILLINOIS CROSSROADS INC

4119 S WATER TOWER PL STE A
MOUNT VERNON, IL 62864-6293

Phone: 618-246-9595
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for DEACONESS ILLINOIS CROSSROADS INC

NPI #	`1548986839`
LBN Legal business name	DEACONESS ILLINOIS CROSSROADS INC
Authorized official	JARED STIMPSON - (TREASURER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/18/2022
Last updated	01/11/2023 - 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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DEACONESS ILLINOIS CROSSROADS INC

Contact Information

Specialty

Radiology

NPI Profile & details for DEACONESS ILLINOIS CROSSROADS INC

Reviews for DEACONESS ILLINOIS CROSSROADS INC