| NPI | 1386351856 |
|---|---|
| Doing Business As | DEACONESS IL SPECIALTY 3329 DEYOUNG |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary Treasurer 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 213E00000X Podiatrist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-01-26 |