Deaconess Illinois Clinic

LBN: Deaconess Illinois Clinic, Inc
Deaconess Illinois Clinic is an health care organization with primary practice located at 1028 S Kirkwood Rd , Saint Louis MO 63122-7222. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Deaconess Illinois Clinic, Inc can be contacted via phone (314) 287-6184, or through Dillman, Kyle via phone (812) 450-7399.

Contact Information

Primary practice address
1028 S Kirkwood Rd Saint Louis MO 63122-7222
Phone: (314) 287-6184
Fax: (314) 394-2253
Website:
Map and Directions
Authorized official contact:
Name: Dillman, Kyle
Phone: (812) 450-7399

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1659097947
LBN Legal business name Deaconess Illinois Clinic, Inc
DBA Doing business as Deaconess Illinois Clinic
Authorized official Dillman, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2022
Last updated Dec 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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