Deaconess Illinois Specialty Clinic, Inc.

NPI #1558067488 in Marion, Illinois

Provider Information

NPI Number: 1558067488
Entity Type: Organization
Organization Name: Deaconess Illinois Specialty Clinic, Inc.
Primary Specialty: Hospitalist
Enumeration Date: Feb 2, 2023
Last Updated: Jan 19, 2025

Practice Location

Address: 3333 W DEYOUNG ST
City: Marion
State: Illinois
ZIP Code: 62959-5884
Phone: (618) 998-7000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Nurse Practitioner	363L00000X
Hospitalist	208M00000X	Primary

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