Deaconess Illinois Clinic, INC
Family Medicine in Saint Louis, Missouri
1659097947- Practice location
- 1028 S Kirkwood RD, Saint Louis, MO 63122-7222
- Phone
- 314-287-6184
- Fax
- 314-394-2253
- Last updated
- December 2, 2022
Deaconess Illinois Clinic, INC is a healthcare organization based in Saint Louis, MO. Deaconess Illinois Clinic, INC practices in Saint Louis, MO. The NPI Number for Deaconess Illinois Clinic, INC is 1659097947. The current practice location address for Deaconess Illinois Clinic, INC is 1028 S Kirkwood RD, Saint Louis, MO 63122-7222 and can be reached out via phone at 314-287-6184 and via fax at 314-394-2253.
Provider Profile Details
- NPI Number
- 1659097947
- Provider Name
- Deaconess Illinois Clinic, INC
- Provider Entity Type
- Organization
- Address
- 1028 S Kirkwood RD, Saint Louis, MO 63122-7222
- Phone Number
- 314-287-6184
- Fax Number
- 314-394-2253
- Primary Taxonomy
- Family Medicine · 207Q00000X
- 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
- 1028 S Kirkwood RD
Saint Louis, MO 63122-7222 - City
- Saint Louis
- State
- Missouri
- Zip
- 63122-7222
- Phone Number
- 314-287-6184
- Fax Number
- 314-394-2253
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)
- Internal Medicine, Interventional Cardiology · 207RI0011X
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
- Taxonomy (3)
- 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 Saint Louis, MO
View all Family Medicine providers in Saint Louis →- Katherine Lazet, DOFamily Medicine · NPI 1033591789
- Surya D NagarajaPathology, Clinical Pathology · NPI 1861029100
- Dr. Padma Gulur, MDAnesthesiology, Pain Medicine · NPI 1225017627
- Marathon Health, LLCClinic/Center · NPI 1760387526
- Dr. Frank T Dicker, MDEmergency Medicine · NPI 1184007635
- Dr. Walaa M Abdelfadeel, MDOrthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery · NPI 1669053062
Frequently Asked Questions
What is the NPI number of Deaconess Illinois Clinic, INC?
The NPI number of Deaconess Illinois Clinic, INC is 1659097947. 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 Family Medicine (code 207Q00000X).
Where does Deaconess Illinois Clinic, INC practice?
The practice location is 1028 S Kirkwood RD, Saint Louis, MO 63122-7222. The office can be reached at 314-287-6184 (phone) or 314-394-2253 (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 1659097947 directly on the NPPES registry website.