Deaconess Illinois Specialty Clinic, INC.
Family Medicine in West Frankfort, Illinois
1447965751- Practice location
- 909 W Main St Ste 2, West Frankfort, IL 62896-2209
- Phone
- 812-450-6815
- Fax
- 812-450-6822
- Last updated
- January 20, 2023
Deaconess Illinois Specialty Clinic, INC. is a healthcare organization based in West Frankfort, IL. Deaconess Illinois Specialty Clinic, INC. practices in West Frankfort, IL. The NPI Number for Deaconess Illinois Specialty Clinic, INC. is 1447965751. The current practice location address for Deaconess Illinois Specialty Clinic, INC. is 909 W Main St Ste 2, West Frankfort, IL 62896-2209 and can be reached out via phone at 812-450-6815 and via fax at 812-450-6822.
Provider Profile Details
- NPI Number
- 1447965751
- Provider Name
- Deaconess Illinois Specialty Clinic, INC.
- Provider Entity Type
- Organization
- Address
- 909 W Main St Ste 2, West Frankfort, IL 62896-2209
- Phone Number
- 812-450-6815
- Fax Number
- 812-450-6822
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Kyle Dillman · Secretary · 812-450-7399
- Other Names
- Deaconess Il Specialty Express 909 W Main St (Doing Business As)
- Provider Enumeration Date
- January 20, 2023
- Last Update Date
- January 20, 2023
- Certification Date
- January 20, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 909 W Main St Ste 2
West Frankfort, IL 62896-2209 - City
- West Frankfort
- State
- Illinois
- Zip
- 62896-2209
- Phone Number
- 812-450-6815
- Fax Number
- 812-450-6822
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 (1)
- Allergy & Immunology · 207K00000X
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near West Frankfort, IL
View all Family Medicine providers in West Frankfort →Frequently Asked Questions
What is the NPI number of Deaconess Illinois Specialty Clinic, INC.?
The NPI number of Deaconess Illinois Specialty Clinic, INC. is 1447965751. It was assigned on January 20, 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 Family Medicine (code 207Q00000X).
Where does Deaconess Illinois Specialty Clinic, INC. practice?
The practice location is 909 W Main St Ste 2, West Frankfort, IL 62896-2209. The office can be reached at 812-450-6815 (phone) or 812-450-6822 (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 1447965751 directly on the NPPES registry website.