Deaconess Illinois Crossroads INC
NPI #1316663602 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1316663602
- Entity Type
- Organization
- Organization Name
- Deaconess Illinois Crossroads INC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Oct 18, 2022
- Last Updated
- Aug 7, 2024
Practice Location
- Address
- 4101 N WATER TOWER PL
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6296
- Phone
- (618) 244-4313
Authorized Official
- Name
- AMBER LIPE
- Title
- CFO
- Phone
- (618) 998-7020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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