DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

MOUNT VERNON, IL
NPI1295442556
Other NameRIVER TO RIVER HEART GROUP
Entity TypeOrganization
Authorized ContactKYLE DILLMAN
Secretary Treasurer
812-450-7399
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207RC0000X 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 Date2022-11-04
Last Update Date2023-01-26
Business Address
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
209 CROSSROADS PL
MOUNT VERNON, IL 62864-6545
Phone number: 618-244-1937
Mailing Address
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
PO BOX 34266
BELFAST, ME 04915-0620
Phone number: 812-450-6815