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Organization
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Active
Organization
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Active
Other names
Deaconess Care Group Illinois Red Bud
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE DILLMAN (SECRETARY)
(812) 450-7399
Entity
Organization
Contact information
Practice address
325 SPRING ST, RED BUD, IL 62278-1105
(618) 769-3360
Mailing address
PO BOX 34266, BELFAST, ME 04915-0620
(618) 769-3360
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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