| NPI | 1801513577 |
|---|---|
| Doing Business As | DEACONESS ILLINOIS CLINIC |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary / Treasurer 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RN0300X Internal Medicine Nephrology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208C00000X Colon & Rectal Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-12-02 |