Deaconess Il Specialty Spring St Emergency

LBN: Deaconess Illinois Specialty Clinic, Inc.
Deaconess Il Specialty Spring St Emergency is an health care organization with primary practice located at 325 Spring St , Red Bud IL 62278-1105. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Deaconess Illinois Specialty Clinic, Inc. can be contacted via phone (618) 282-3831, or through Dillman, Kyle via phone (812) 450-7399.

Contact Information

Primary practice address
325 Spring St Red Bud IL 62278-1105
Phone: (618) 282-3831
Fax: (618) 282-3550
Website:
Map and Directions
Authorized official contact:
Name: Dillman, Kyle
Phone: (812) 450-7399

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1053029330
LBN Legal business name Deaconess Illinois Specialty Clinic, Inc.
DBA Doing business as Deaconess Il Specialty Spring St Emergency
Authorized official Dillman, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2022
Last updated Jan 26th, 2023 - 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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