Deaconess Illinois Specialty Clinic, Inc.

LBN: Deaconess Illinois Specialty Clinic, Inc.
Deaconess Illinois Specialty Clinic, Inc. is an health care organization with primary practice located at 3111 Broadway St , Mount Vernon IL 62864-2338. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, which is considered as the primary health care specialty. Deaconess Illinois Specialty Clinic, Inc. can be contacted via phone (618) 241-0333, or through Dillman, Kyle via phone (812) 450-7399.

Contact Information

Primary practice address
3111 Broadway St Mount Vernon IL 62864-2338
Phone: (618) 241-0333
Fax: (618) 241-0334
Website:
Map and Directions
Authorized official contact:
Name: Dillman, Kyle
Phone: (812) 450-7399

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X

Profile Details

NPI number 1679270763
LBN Legal business name Deaconess Illinois Specialty Clinic, Inc.
DBA Doing business as
Authorized official Dillman, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2023
Last updated Feb 9th, 2023 - about last year

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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