# DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Illinois Specialty Clinic GI, Deaconess Illinois Clinic GI and Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578417705
- **Authorized official:** KYLE DILLMAN (SECRETARY)
- **Authorized official phone:** (812) 450-7399

## Contact information

- **Practice address:** 205 BAILEY LN STE F, BENTON, IL 62812-1921
- **Practice address phone:** (618) 918-0645
- **Practice address fax:** (618) 918-6046
- **Mailing address:** 205 BAILEY LN STE F, BENTON, IL 62812-1921
- **Mailing address phone:** (618) 918-0645
- **Mailing address fax:** (618) 918-6046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2026
- **Last updated:** 03/12/2026