- Practice location
- 3331 W Deyoung St, Marion, IL 62959-5896
- Phone
- 618-998-7155
- Fax
- 618-998-7285
- Last updated
- May 23, 2026
Deaconess Illinois Specialty Clinic, INC. is a healthcare organization based in Marion, IL. Deaconess Illinois Specialty Clinic, INC. practices in Marion, IL. The NPI Number for Deaconess Illinois Specialty Clinic, INC. is 1972210235. The current practice location address for Deaconess Illinois Specialty Clinic, INC. is 3331 W Deyoung St, Marion, IL 62959-5896 and can be reached out via phone at 618-998-7155 and via fax at 618-998-7285.
Provider Profile Details
- NPI Number
- 1972210235
- Provider Name
- Deaconess Illinois Specialty Clinic, INC.
- Provider Entity Type
- Organization
- Address
- 3331 W Deyoung St, Marion, IL 62959-5896
- Phone Number
- 618-998-7155
- Fax Number
- 618-998-7285
- Primary Taxonomy
- Surgery · 208600000X
- Organization Subpart
- No
- Authorized Official
- Kyle Dillman · Secretary Treasurer · 812-450-7399
- Other Names
- Southern Illinois Vein Clinic (Doing Business As)
River To River Heart Group (Doing Business As)
Deaconess Il Specialty 3331 Deyoung (Doing Business As) - Provider Enumeration Date
- November 4, 2022
- Last Update Date
- May 23, 2026
- Certification Date
- May 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3331 W Deyoung St
Marion, IL 62959-5896 - City
- Marion
- State
- Illinois
- Zip
- 62959-5896
- Phone Number
- 618-998-7155
- Fax Number
- 618-998-7285
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)
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X
- Taxonomy (2)
- Urology · 208800000X
- Taxonomy (3)
- Nurse Practitioner · 363L00000X
- Taxonomy (4)
- Allergy & Immunology · 207K00000X
- Taxonomy (5)
- Internal Medicine · 207R00000X
- Taxonomy (6)
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Taxonomy (7)
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Taxonomy (8)
- Physician Assistant · 363A00000X
- Taxonomy (9)
- Colon & Rectal Surgery · 208C00000X
- Taxonomy (10)
- Internal Medicine, Nephrology · 207RN0300X
- Taxonomy (11)
- Specialist · 174400000X
- Taxonomy (12)
- Internal Medicine, Pulmonary Disease · 207RP1001X
- Taxonomy (13)
- Family Medicine · 207Q00000X
- Taxonomy (14)
- Internal Medicine, Gastroenterology · 207RG0100X
- Taxonomy (15)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Deaconess Illinois Specialty Clinic, INC.?
The NPI number of Deaconess Illinois Specialty Clinic, INC. is 1972210235. It was assigned on November 4, 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 Surgery (code 208600000X).
Where does Deaconess Illinois Specialty Clinic, INC. practice?
The practice location is 3331 W Deyoung St, Marion, IL 62959-5896. The office can be reached at 618-998-7155 (phone) or 618-998-7285 (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 1972210235 directly on the NPPES registry website.