Deaconess Illinois Specialty Clinic, Inc.

NPI #1225858251 in Anna, Illinois

Provider Information

NPI Number: 1225858251
Entity Type: Organization
Organization Name: Deaconess Illinois Specialty Clinic, Inc.
Primary Specialty: Hospitalist
Enumeration Date: Oct 15, 2024
Last Updated: Oct 15, 2024

Practice Location

Address: 517 N MAIN ST
City: Anna
State: Illinois
ZIP Code: 62906-1668
Phone: (618) 833-4511

Authorized Official

Name: KYLE DILLMAN
Title: SECRETARY
Phone: (812) 450-7399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Hospitalist	208M00000X	Primary

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