| NPI | 1407572860 |
|---|---|
| Doing Business As | DEACONESS ILLINOIS CLINIC |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary / Treasurer 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| 208C00000X Colon & Rectal Surgery | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-12-02 |