| NPI | 1295442556 |
|---|---|
| Doing Business As | DEACONESS IL SPECIALTY CROSSROADS PL |
| Other Name | RIVER TO RIVER HEART GROUP |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary Treasurer 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208C00000X Colon & Rectal Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2023-01-26 |