| NPI | 1326765090 |
|---|---|
| Doing Business As | DEACONESS IL CLINIC 17TH ST |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary / Treasurer 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2023-02-02 |