- Practice location
- 3331 W Deyoung St, Marion, IL 62959-5896
- Phone
- 618-998-7600
- Fax
- 618-997-6680
- Last updated
- December 2, 2022
Deaconess Illinois Clinic, INC is a healthcare organization based in Marion, IL. Deaconess Illinois Clinic, INC practices in Marion, IL. The NPI Number for Deaconess Illinois Clinic, INC is 1407572860. The current practice location address for Deaconess Illinois Clinic, INC is 3331 W Deyoung St, Marion, IL 62959-5896 and can be reached out via phone at 618-998-7600 and via fax at 618-997-6680.
Provider Profile Details
- NPI Number
- 1407572860
- Provider Name
- Deaconess Illinois Clinic, INC
- Provider Entity Type
- Organization
- Address
- 3331 W Deyoung St, Marion, IL 62959-5896
- Phone Number
- 618-998-7600
- Fax Number
- 618-997-6680
- Primary Taxonomy
- Surgery · 208600000X
- Organization Subpart
- No
- Authorized Official
- Kyle Dillman · Secretary / Treasurer · 812-450-7399
- Other Names
- Deaconess Illinois Clinic (Doing Business As)
- Provider Enumeration Date
- October 18, 2022
- Last Update Date
- December 2, 2022
- Certification Date
- December 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3331 W Deyoung St
Marion, IL 62959-5896 - City
- Marion
- State
- Illinois
- Zip
- 62959-5896
- Phone Number
- 618-998-7600
- Fax Number
- 618-997-6680
Provider Business Mailing Address Details
- Address
- Po Box 34156
Belfast, ME 04915-0619 - City
- Belfast
- State
- ME
- Zip
- 04915-0619
- Phone Number
- 812-450-6815
- Fax Number
- 812-450-6822
License Information
- Taxonomy (1)
- Family Medicine · 207Q00000X
- Taxonomy (2)
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Taxonomy (3)
- Internal Medicine, Clinical Cardiac Electrophysiology · 207RC0001X
- Taxonomy (4)
- Internal Medicine, Gastroenterology · 207RG0100X
- Taxonomy (5)
- Internal Medicine, Hematology & Oncology · 207RH0003X
- Taxonomy (6)
- Internal Medicine, Interventional Cardiology · 207RI0011X
- Taxonomy (7)
- Internal Medicine, Pulmonary Disease · 207RP1001X
- Taxonomy (9)
- Urology · 208800000X
- Taxonomy (10)
- Colon & Rectal Surgery · 208C00000X
- Taxonomy (11)
- Podiatrist · 213E00000X
- Taxonomy (12)
- Physician Assistant · 363A00000X
- Taxonomy (13)
- Nurse Practitioner · 363L00000X
- Taxonomy (14)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Marion, IL
View all Surgery providers in Marion →- Deaconess Illinois Specialty Clinic, INC.Surgery · NPI 1972210235
- Kroger Limited Partnership IPharmacy, Community/Retail Pharmacy · NPI 1144254954
- Deaconess Illinois Specialty Clinic, INC.Hospitalist · NPI 1558067488
- Deaconess Illinois Specialty Clinic, INC.Emergency Medicine · NPI 1336845015
- Deaconess Illinois Clinic, INCFamily Medicine · NPI 1326765090
- Deaconess Illinois Specialty Clinic, INC.Orthopaedic Surgery · NPI 1386351856
Frequently Asked Questions
What is the NPI number of Deaconess Illinois Clinic, INC?
The NPI number of Deaconess Illinois Clinic, INC is 1407572860. It was assigned on October 18, 2022 and is currently active in the NPPES registry.
What is the specialty of Deaconess Illinois Clinic, INC?
Deaconess Illinois Clinic, INC is registered under the primary taxonomy Surgery (code 208600000X).
Where does Deaconess Illinois Clinic, INC practice?
The practice location is 3331 W Deyoung St, Marion, IL 62959-5896. The office can be reached at 618-998-7600 (phone) or 618-997-6680 (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 1407572860 directly on the NPPES registry website.