| NPI | 1629785183 |
|---|---|
| Doing Business As | DEACONESS IL SPECIALTY BAILEY LN |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary Treasurer 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-01-26 |