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DEACONESS ILLINOIS SPECIALTY CLINIC INC. NPI 1851008338


NPI Information

NPI: 1851008338
Provider Name: DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Doing Business As: DEACONESS IL SPECIALTY EXPRESS 716 COMMERCIAL ST

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
716 S COMMERCIAL ST
HARRISBURG, IL
ZIP 62946
Phone: (618) 918-6060
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DEACONESS ILLINOIS SPECIALTY CLINIC, INC. is a nurse practitioner in Harrisburg, IL. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. DEACONESS ILLINOIS SPECIALTY CLINIC, INC. NPI is 1851008338. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Il Specialty Express 716 Commercial St.

The provider's business location address is:

716 S COMMERCIAL ST
HARRISBURG, IL
ZIP 62946-346
Phone: (618) 918-6060
Fax: (618) 294-8238

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

The enumeration date for this NPI number is 11/3/2022 and was last updated on 1/26/2023.


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
1207Q00000XFamily MedicineNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerYes

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: 5/5/2024

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