- Practice location
- 325 Spring St, Red Bud, IL 62278-1105
- Phone
- 618-939-2273
- Fax
- 618-939-0245
- Last updated
- December 2, 2022
Deaconess Illinois Clinic, INC is a healthcare organization based in Red Bud, IL. Deaconess Illinois Clinic, INC practices in Red Bud, IL. The NPI Number for Deaconess Illinois Clinic, INC is 1770209082. The current practice location address for Deaconess Illinois Clinic, INC is 325 Spring St, Red Bud, IL 62278-1105 and can be reached out via phone at 618-939-2273 and via fax at 618-939-0245.
Provider Profile Details
- NPI Number
- 1770209082
- Provider Name
- Deaconess Illinois Clinic, INC
- Provider Entity Type
- Organization
- Address
- 325 Spring St, Red Bud, IL 62278-1105
- Phone Number
- 618-939-2273
- Fax Number
- 618-939-0245
- 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
- 325 Spring St
Red Bud, IL 62278-1105 - City
- Red Bud
- State
- Illinois
- Zip
- 62278-1105
- Phone Number
- 618-939-2273
- Fax Number
- 618-939-0245
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)
- Surgery · 208600000X
- Taxonomy (3)
- Urology · 208800000X
- Taxonomy (5)
- Physician Assistant · 363A00000X
- Taxonomy (6)
- Nurse Practitioner · 363L00000X
- Taxonomy (7)
- 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 Red Bud, IL
View all Family Medicine providers in Red Bud →- Deaconess Illinois Specialty Clinic, INC.Family Medicine · NPI 1922715408
- Deaconess Illinois Red Bud Regional Hospital INCClinic/Center, Rural Health · NPI 1619693926
- Deaconess Illinois Specialty Clinic, INC.Hospitalist · NPI 1780369132
- Deaconess Illinois Specialty Clinic, INC.Emergency Medicine · NPI 1053029330
Frequently Asked Questions
What is the NPI number of Deaconess Illinois Clinic, INC?
The NPI number of Deaconess Illinois Clinic, INC is 1770209082. 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 325 Spring St, Red Bud, IL 62278-1105. The office can be reached at 618-939-2273 (phone) or 618-939-0245 (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 1770209082 directly on the NPPES registry website.