Deaconess Illinois Specialty Clinic, Inc.

NPI #1497462956 in Harrisburg, Illinois

Provider Information

NPI Number: 1497462956
Entity Type: Organization
Organization Name: Deaconess Illinois Specialty Clinic, Inc.
Primary Specialty: Podiatrist
Enumeration Date: Nov 3, 2022
Last Updated: Jan 26, 2023

Practice Location

Address: 303 S COMMERCIAL ST STE 15
City: Harrisburg
State: Illinois
ZIP Code: 62946-2125
Phone: (618) 767-6050

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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