DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

MOUNT VERNON, IL
NPI1679270763
Entity TypeOrganization
Authorized ContactKYLE DILLMAN
Secretary
812-450-7399
Organization Subpart ?No
Primary Taxonomy363LX0106X Nurse Practitioner Occupational Health
Enumeration Date2023-02-09
Last Update Date2023-02-09
Business Address
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
3111 BROADWAY ST
MOUNT VERNON, IL 62864-2338
Phone number: 618-241-0333
Mailing Address
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
3111 BROADWAY ST
MOUNT VERNON, IL 62864-2338
Phone number: 618-241-0333
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