# DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Illinois Clinic Express, DEACONESS IL SPECIALTY EXPRESS 909 W MAIN ST
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861346090
- **Authorized official:** KYLE DILLMAN (SECRETARY)
- **Authorized official phone:** (812) 450-7399

## Contact information

- **Practice address:** 909 W MAIN ST STE B, WEST FRANKFORT, IL 62896-2209
- **Practice address phone:** (618) 372-6040
- **Practice address fax:** (618) 933-3090
- **Mailing address:** 909 W MAIN ST STE B, WEST FRANKFORT, IL 62896-2209
- **Mailing address phone:** (618) 372-6040
- **Mailing address fax:** (618) 933-3090

## 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