Deaconess Illinois Specialty Clinic, INC.
Orthopaedic Surgery in Mount Vernon, Illinois
1477260743- Practice location
- 4113 S Water Tower Pl, Mount Vernon, IL 62864-6293
- Phone
- 618-241-9071
- Fax
- 618-241-9079
- Last updated
- January 26, 2023
Deaconess Illinois Specialty Clinic, INC. is a healthcare organization based in Mount Vernon, IL. Deaconess Illinois Specialty Clinic, INC. practices in Mount Vernon, IL. The NPI Number for Deaconess Illinois Specialty Clinic, INC. is 1477260743. The current practice location address for Deaconess Illinois Specialty Clinic, INC. is 4113 S Water Tower Pl, Mount Vernon, IL 62864-6293 and can be reached out via phone at 618-241-9071 and via fax at 618-241-9079.
Provider Profile Details
- NPI Number
- 1477260743
- Provider Name
- Deaconess Illinois Specialty Clinic, INC.
- Provider Entity Type
- Organization
- Address
- 4113 S Water Tower Pl, Mount Vernon, IL 62864-6293
- Phone Number
- 618-241-9071
- Fax Number
- 618-241-9079
- Primary Taxonomy
- Orthopaedic Surgery · 207X00000X
- Organization Subpart
- No
- Authorized Official
- Kyle Dillman · Secretary Treasurer · 812-450-7399
- Other Names
- Deaconess Il Specialty 4113 Water Tower (Doing Business As)
- Provider Enumeration Date
- November 4, 2022
- Last Update Date
- January 26, 2023
- Certification Date
- January 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4113 S Water Tower Pl
Mount Vernon, IL 62864-6293 - City
- Mount Vernon
- State
- Illinois
- Zip
- 62864-6293
- Phone Number
- 618-241-9071
- Fax Number
- 618-241-9079
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)
- Physician Assistant · 363A00000X
- Taxonomy (2)
- Family Medicine, Sports Medicine · 207QS0010X
- Taxonomy (3)
- Orthopaedic Surgery · 207X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Orthopaedic Surgery providers near Mount Vernon, IL
View all Orthopaedic Surgery providers in Mount Vernon →- Dr. Graeme D Fisher, MDRadiology, Therapeutic Radiology · NPI 1659362929
- National Healthcare Of Mt Vernon INCClinic/Center, Rural Health · NPI 1447814405
- Deaconess Illinois Clinic, INCFamily Medicine · NPI 1063128544
- Deaconess Illinois Specialty Clinic, INC.Family Medicine · NPI 1003523374
- Deaconess Illinois Specialty Clinic, INC.Family Medicine · NPI 1295442556
- Deaconess Illinois Specialty Clinic, INC.Nurse Practitioner · NPI 1497462964
Frequently Asked Questions
What is the NPI number of Deaconess Illinois Specialty Clinic, INC.?
The NPI number of Deaconess Illinois Specialty Clinic, INC. is 1477260743. It was assigned on November 4, 2022 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 Orthopaedic Surgery (code 207X00000X).
Where does Deaconess Illinois Specialty Clinic, INC. practice?
The practice location is 4113 S Water Tower Pl, Mount Vernon, IL 62864-6293. The office can be reached at 618-241-9071 (phone) or 618-241-9079 (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 1477260743 directly on the NPPES registry website.