| NPI | 1447965751 |
|---|---|
| Doing Business As | DEACONESS IL SPECIALTY EXPRESS 909 W MAIN ST |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |