Deaconess Illinois Clinic, INC

NPI #1619684362 in Marion, Illinois

Provider Information

NPI Number: 1619684362
Entity Type: Organization
Organization Name: Deaconess Illinois Clinic, INC
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2022
Last Updated: Jan 19, 2023

Practice Location

Address: 3331 W DEYOUNG ST
City: Marion
State: Illinois
ZIP Code: 62959-5896
Phone: (812) 450-6815

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Occupational Medicine — Occupational Medicine	2083X0100X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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