DEACONESS ILLINOIS CLINIC, INC

MARION, IL
NPI1538886114
Doing Business AsDEACONESS IL CLINIC 3329 DEYOUNG
Entity TypeOrganization
Authorized ContactKYLE DILLMAN
Secretary
812-450-7399
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies363L00000X Nurse Practitioner
Enumeration Date2022-10-24
Last Update Date2023-01-26
Business Address
DEACONESS ILLINOIS CLINIC, INC
3329 W DEYOUNG ST
MARION, IL 62959-5884
Phone number: 618-998-7177
Mailing Address
DEACONESS ILLINOIS CLINIC, INC
PO BOX 34156
BELFAST, ME 04915-0619
Phone number: 812-450-6815