DEACONESS ILLINOIS CLINIC, INC

RED BUD, IL
NPI1770209082
Doing Business AsDEACONESS ILLINOIS CLINIC
Entity TypeOrganization
Authorized ContactKYLE DILLMAN
Secretary / Treasurer
812-450-7399
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207RI0011X Internal Medicine, Interventional Cardiology
208600000X Surgery
208800000X Urology
208VP0000X 
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2022-10-18
Last Update Date2022-12-02
Business Address
DEACONESS ILLINOIS CLINIC, INC
325 SPRING ST
RED BUD, IL 62278-1105
Phone number: 618-939-2273
Mailing Address
DEACONESS ILLINOIS CLINIC, INC
PO BOX 34156
BELFAST, ME 04915-0619
Phone number: 812-450-6815