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Deaconess Illinois Specialty Clinic, Inc.
Nurse Practitioner in Sparta, Illinois
NPI 1619684172

Deaconess Illinois Specialty Clinic, Inc. is a Nurse Practitioner based in Belfast, IL. Deaconess Illinois Specialty Clinic, Inc. practices in Sparta, IL. The NPI Number for Deaconess Illinois Specialty Clinic, Inc. is 1619684172 and holds a License No. (Illinois).

The current practice location address for Deaconess Illinois Specialty Clinic, Inc. is 205 S Burns Ave, Sparta, IL and can be reached out via phone at 618-443-2858 and via fax at 618-939-4256. You can also correspond with Deaconess Illinois Specialty Clinic, Inc. through the mailing address at PO BOX 34266, BELFAST, ME - 04915-0620 (mailing address contact number: 812-450-6815).

Location: 205 S Burns Ave, Sparta, IL, 04915-0620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619684172
Provider Name
Deaconess Illinois Specialty Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
205 S Burns Ave, Sparta, IL, 04915-0620
Phone Number
618-443-2858
Fax Number
618-939-4256
Provider Enumeration Date
11/03/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
205 S Burns Ave
City
Sparta
State
Illinois
Zip
62286-1867
Phone Number
618-443-2858
Fax Number
618-939-4256
person
Provider Business Mailing Address Details
Address
Po Box 34266
City
Belfast
State
Maine
Zip
04915-0620
Phone Number
812-450-6815
Fax Number
812-450-6822
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
()
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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