Deaconess Illinois Clinic, INC
NPI #1063128544 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1063128544
- Entity Type
- Organization
- Organization Name
- Deaconess Illinois Clinic, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 27, 2023
- Last Updated
- Jan 27, 2023
Practice Location
- Address
- 4105 N WATER TOWER PL
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6296
- Phone
- (812) 450-6815
Authorized Official
- Name
- KYLE DILLMAN
- Title
- SECRETARY
- Phone
- (812) 450-7399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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