DEACONESS ILLINOIS CLINIC, INC

MOUNT VERNON, IL
NPI1063128544
Entity TypeOrganization
Authorized ContactKYLE DILLMAN
Secretary
812-450-7399
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2023-01-27
Last Update Date2023-01-27
Business Address
DEACONESS ILLINOIS CLINIC, INC
4105 N WATER TOWER PL
MOUNT VERNON, IL 62864-6296
Phone number: 812-450-6815
Mailing Address
DEACONESS ILLINOIS CLINIC, INC
PO BOX 34156
BELFAST, ME 04915-0619
Phone number: 812-450-6815
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