| NPI | 1003523374 |
|---|---|
| Doing Business As | DEACONESS IL SPECIALTY 4117 WATER TOWER |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary Treasurer 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 231H00000X Audiologist | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2023-01-26 |