Deaconess Illinois Specialty Clinic, Inc.
NPI #1447965751 in West Frankfort, Illinois
Provider Information
- NPI Number
- 1447965751
- Entity Type
- Organization
- Organization Name
- Deaconess Illinois Specialty Clinic, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 20, 2023
- Last Updated
- Jan 20, 2023
Practice Location
- Address
- 909 W MAIN ST STE 2
- City
- West Frankfort
- State
- Illinois
- ZIP Code
- 62896-2209
- Phone
- (812) 450-6815
Authorized Official
- Name
- KYLE DILLMAN
- Title
- SECRETARY
- Phone
- (812) 450-7399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology |
| Family Medicine |
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