- Practice location
- 325 Spring St, Red Bud, IL 62278-1105
- Phone
- 618-769-3360
- Fax
- —
- Last updated
- June 21, 2023
Deaconess Illinois Specialty Clinic, INC. is a healthcare organization based in Red Bud, IL. Deaconess Illinois Specialty Clinic, INC. practices in Red Bud, IL. The NPI Number for Deaconess Illinois Specialty Clinic, INC. is 1780369132. The current practice location address for Deaconess Illinois Specialty Clinic, INC. is 325 Spring St, Red Bud, IL 62278-1105 and can be reached out via phone at 618-769-3360.
Provider Profile Details
- NPI Number
- 1780369132
- Provider Name
- Deaconess Illinois Specialty Clinic, INC.
- Provider Entity Type
- Organization
- Address
- 325 Spring St, Red Bud, IL 62278-1105
- Phone Number
- 618-769-3360
- Primary Taxonomy
- Hospitalist · 208M00000X
- Organization Subpart
- No
- Authorized Official
- Kyle Dillman · Secretary · 812-450-7399
- Other Names
- Deaconess Care Group Illinois Red Bud (Doing Business As)
- Provider Enumeration Date
- June 21, 2023
- Last Update Date
- June 21, 2023
- Certification Date
- June 21, 2023
- 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
- 618-769-3360
Provider Business Mailing Address Details
- Address
- Po Box 34266
Belfast, ME 04915-0620 - City
- Belfast
- State
- ME
- Zip
- 04915-0620
- Phone Number
- 618-769-3360
License Information
- Taxonomy
- Hospitalist · 208M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Hospitalists near Red Bud, IL
View all Hospitalists in Red Bud →- Deaconess Illinois Red Bud Regional Hospital INCClinic/Center, Rural Health · NPI 1619693926
- Deaconess Illinois Specialty Clinic, INC.Family Medicine · NPI 1922715408
- Deaconess Illinois Specialty Clinic, INC.Emergency Medicine · NPI 1053029330
- Deaconess Illinois Clinic, INCFamily Medicine · NPI 1770209082
Frequently Asked Questions
What is the NPI number of Deaconess Illinois Specialty Clinic, INC.?
The NPI number of Deaconess Illinois Specialty Clinic, INC. is 1780369132. It was assigned on June 21, 2023 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 Hospitalist (code 208M00000X).
Where does Deaconess Illinois Specialty Clinic, INC. practice?
The practice location is 325 Spring St, Red Bud, IL 62278-1105. The office can be reached at 618-769-3360 (phone).
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 1780369132 directly on the NPPES registry website.