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Organization
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Active
Organization
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Active
Other names
Deaconess Illinois Specialty Clinic GI, Deaconess Illinois Clinic GI and Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE DILLMAN (SECRETARY)
(812) 450-7399
Entity
Organization
Contact information
Practice address
205 BAILEY LN STE F, BENTON, IL 62812-1921
(618) 918-0645
(618) 918-6046
Mailing address
205 BAILEY LN STE F, BENTON, IL 62812-1921
(618) 918-0645
(618) 918-6046
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/24/2026
Last updated
03/12/2026
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