- Practice location
- 3333 W Deyoung St, Marion, IL 62959-5884
- Phone
- 618-998-7000
- Fax
- 618-998-7449
- Last updated
- February 3, 2023
Deaconess Illinois Specialty Clinic, INC. is a healthcare organization based in Marion, IL. Deaconess Illinois Specialty Clinic, INC. practices in Marion, IL. The NPI Number for Deaconess Illinois Specialty Clinic, INC. is 1336845015. The current practice location address for Deaconess Illinois Specialty Clinic, INC. is 3333 W Deyoung St, Marion, IL 62959-5884 and can be reached out via phone at 618-998-7000 and via fax at 618-998-7449.
Provider Profile Details
- NPI Number
- 1336845015
- Provider Name
- Deaconess Illinois Specialty Clinic, INC.
- Provider Entity Type
- Organization
- Address
- 3333 W Deyoung St, Marion, IL 62959-5884
- Phone Number
- 618-998-7000
- Fax Number
- 618-998-7449
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Kyle Dillman · Secretary · 812-450-7399
- Other Names
- Deaconess Illinois Emergency Room Physicians (Doing Business As)
- Provider Enumeration Date
- February 3, 2023
- Last Update Date
- February 3, 2023
- Certification Date
- February 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3333 W Deyoung St
Marion, IL 62959-5884 - City
- Marion
- State
- Illinois
- Zip
- 62959-5884
- Phone Number
- 618-998-7000
- Fax Number
- 618-998-7449
Provider Business Mailing Address Details
- Address
- Po Box 34266
Belfast, ME 04915-0620 - City
- Belfast
- State
- ME
- Zip
- 04915-0620
- Phone Number
- 812-450-6815
- Fax Number
- 812-450-6822
License Information
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Deaconess Illinois Specialty Clinic, INC.?
The NPI number of Deaconess Illinois Specialty Clinic, INC. is 1336845015. It was assigned on February 3, 2023 and is currently active in the NPPES registry.
What is the specialty of Deaconess Illinois Specialty Clinic, INC.?
Deaconess Illinois Specialty Clinic, INC. is registered under the primary taxonomy Emergency Medicine (code 207P00000X).
Where does Deaconess Illinois Specialty Clinic, INC. practice?
The practice location is 3333 W Deyoung St, Marion, IL 62959-5884. The office can be reached at 618-998-7000 (phone) or 618-998-7449 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336845015 directly on the NPPES registry website.