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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