DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

BENTON, IL
NPI1629785183
Entity TypeOrganization
Authorized ContactKYLE DILLMAN
Secretary Treasurer
812-450-7399
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Additional Taxonomies207RG0100X Internal Medicine Gastroenterology
208600000X Surgery
363L00000X Nurse Practitioner
Enumeration Date2022-11-03
Last Update Date2023-01-26
Business Address
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
205 BAILEY LN STE F
BENTON, IL 62812-1921
Phone number: 618-882-4200
Mailing Address
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
PO BOX 34266
BELFAST, ME 04915-0620
Phone number: 812-450-6815