DEACONESS ILLINOIS SPECIALTY CLINIC INC. NPI 1225858251

NPI Information

  • NPI: 1225858251
  • Provider Name: DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Organization
  • CLIA Number: 14D2317473
  • Address: 517 N MAIN ST
    ANNA, IL
    ZIP 62906
  • Phone: (618) 833-4511

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NPI Details

DEACONESS ILLINOIS SPECIALTY CLINIC, INC. is a hospitalist in Anna, IL. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DEACONESS ILLINOIS SPECIALTY CLINIC, INC. NPI is 1225858251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

517 N MAIN ST
ANNA, IL
ZIP 62906-668
Phone: (618) 833-4511

The provider's authorized official is Kyle Dillman .
The authorized official title is Secretary and has the following contact phone number (812) 450-7399.

The CLIA number assigned to this NPI record is 14D2317473 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2024 and was last updated on 10/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208M00000XHospitalistYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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