Deaconess Illinois Clinic, INC

NPI #1982320289 in Harrisburg, Illinois

Provider Information

NPI Number: 1982320289
Entity Type: Organization
Organization Name: Deaconess Illinois Clinic, INC
Primary Specialty: Podiatrist
Enumeration Date: Oct 18, 2022
Last Updated: Dec 2, 2022

Practice Location

Address: 303 S COMMERCIAL ST
City: Harrisburg
State: Illinois
ZIP Code: 62946-2125
Phone: (618) 998-7998

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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Provider Name	Specialty	City
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