Deaconess Illinois Specialty Clinic, Inc.

NPI #1780369132 in Red Bud, Illinois

Provider Information

NPI Number: 1780369132
Entity Type: Organization
Organization Name: Deaconess Illinois Specialty Clinic, Inc.
Primary Specialty: Hospitalist
Enumeration Date: Jun 21, 2023
Last Updated: Jun 21, 2023

Practice Location

Address: 325 SPRING ST
City: Red Bud
State: Illinois
ZIP Code: 62278-1105
Phone: (618) 769-3360

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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