| NPI | 1588477855 |
|---|---|
| Doing Business As | DEACONESS IL SPECIALTY DOCTORS PARK |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary / Treasurer 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-31 |