| NPI | 1063104206 |
|---|---|
| Other Name | DEACONESS ILLINOIS CLINIC 3411 PROFESSIONAL PARK |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |