Deaconess Illinois Specialty Clinic, Inc.

NPI #1336856806 in Waterloo, Illinois

Provider Information

NPI Number
1336856806
Entity Type
Organization
Organization Name
Deaconess Illinois Specialty Clinic, Inc.
Primary Specialty
Internal Medicine - Interventional Cardiology
Enumeration Date
Nov 3, 2022
Last Updated
Jun 7, 2023

Practice Location

Address
509 HAMACHER ST
ZIP Code
62298-1592
Phone
(618) 939-4200

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery
Physician Assistant
Nurse Practitioner
Internal Medicine - Interventional CardiologyInterventional Cardiology

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