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Deaconess Illinois Clinic, Inc
Nurse Practitioner in Saint Louis, Missouri
NPI 1659097947

Deaconess Illinois Clinic, Inc is a Nurse Practitioner based in Belfast, MO. Deaconess Illinois Clinic, Inc practices in Saint Louis, MO. The NPI Number for Deaconess Illinois Clinic, Inc is 1659097947 and holds a License No. (Missouri).

The current practice location address for Deaconess Illinois Clinic, Inc is 1028 S Kirkwood Rd, Saint Louis, MO and can be reached out via phone at 314-287-6184 and via fax at 314-394-2253.

Location: 1028 S Kirkwood Rd, Saint Louis, MO, 04915-0619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659097947
Provider Name
Deaconess Illinois Clinic, Inc
Credential
Provider Entity Type
Organization
Address
1028 S Kirkwood Rd, Saint Louis, MO, 04915-0619
Phone Number
314-287-6184
Fax Number
314-394-2253
Provider Enumeration Date
10/18/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1028 S Kirkwood Rd
City
Saint Louis
State
Missouri
Zip
63122-7222
Phone Number
314-287-6184
Fax Number
314-394-2253
person
Provider Business Mailing Address Details
Address
1028 S Kirkwood Rd
City
Saint Louis
State
Missouri
Zip
63122-7222
Phone Number
314-287-6184
Fax Number
314-394-2253
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
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 3
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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