DEACONESS ILLINOIS SPECIALTY CLINIC, INC. is an occupational health nurse practitioner in Mount Vernon, IL. DEACONESS ILLINOIS SPECIALTY CLINIC, INC. NPI is 1679270763. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3111 BROADWAY ST MOUNT VERNON, IL ZIP 62864-338 Phone: (618) 241-0333 Fax: (618) 241-0334
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 enumeration date for this NPI number is 2/9/2023 and was last updated on 2/9/2023.
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:
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
NPI Synchronization or Removal
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