Organization
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Active
Other names
Deaconess Care Group Illinois Union County
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE DILLMAN (SECRETARY)
(812) 450-7399
Entity
Organization
Contact information
Practice address
517 N MAIN ST, ANNA, IL 62906-1668
(618) 833-4511
Mailing address
PO BOX 632331, CINCINNATI, OH 45263-2331
(618) 833-4511
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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