| NPI | 1154036259 |
|---|---|
| Doing Business As | DEACONESS IL SPECIALTY CLINIC OCCUPATIONAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 364SX0106X Clinical Nurse Specialist, Occupational Health |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-26 |