- Practice location
- 1201 Ricker RD, Salem, IL 62881-4263
- Phone
- 182-418-7916
- Fax
- 618-244-1926
- Last updated
- January 26, 2023
Deaconess Illinois Specialty Clinic, INC. is a healthcare organization based in Salem, IL. Deaconess Illinois Specialty Clinic, INC. practices in Salem, IL. The NPI Number for Deaconess Illinois Specialty Clinic, INC. is 1730896291. The current practice location address for Deaconess Illinois Specialty Clinic, INC. is 1201 Ricker RD, Salem, IL 62881-4263 and can be reached out via phone at 182-418-7916 and via fax at 618-244-1926.
Provider Profile Details
- NPI Number
- 1730896291
- Provider Name
- Deaconess Illinois Specialty Clinic, INC.
- Provider Entity Type
- Organization
- Address
- 1201 Ricker RD, Salem, IL 62881-4263
- Phone Number
- 182-418-7916
- Fax Number
- 618-244-1926
- Primary Taxonomy
- Orthopaedic Surgery · 207X00000X
- Organization Subpart
- No
- Authorized Official
- Kyle Dillman · Secretary Treasurer · 812-450-7399
- Other Names
- Deaconess Il Specialty Ricker (Doing Business As)
- Provider Enumeration Date
- November 3, 2022
- Last Update Date
- January 26, 2023
- Certification Date
- January 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1201 Ricker RD
Salem, IL 62881-4263 - City
- Salem
- State
- Illinois
- Zip
- 62881-4263
- Phone Number
- 182-418-7916
- Fax Number
- 618-244-1926
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)
- 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 Salem, IL
View all Orthopaedic Surgery providers in Salem →Frequently Asked Questions
What is the NPI number of Deaconess Illinois Specialty Clinic, INC.?
The NPI number of Deaconess Illinois Specialty Clinic, INC. is 1730896291. It was assigned on November 3, 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 1201 Ricker RD, Salem, IL 62881-4263. The office can be reached at 182-418-7916 (phone) or 618-244-1926 (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 1730896291 directly on the NPPES registry website.