Deaconess Illinois Clinic, INC
NPI #1326836206 in Carterville, Illinois
Provider Information
- NPI Number
- 1326836206
- Entity Type
- Organization
- Organization Name
- Deaconess Illinois Clinic, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 29, 2025
- Last Updated
- May 7, 2025
Practice Location
- Address
- 700 LOGAN COLLEGE DRIVE
- Address 2
- J BUILDING
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918
- Phone
- (618) 926-6698
Authorized Official
- Name
- KYLE DILLMAN
- Title
- SECRETARY TREASURER
- Phone
- (812) 450-7399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Family Medicine |
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