DEACONESS ILLINOIS CLINIC
NPI 1003532391
Family Medicine in Salem, IL

NPI Status: Active since October 18, 2022

Contact Information

1201 RICKER RD
SALEM, IL
ZIP 62881
Phone: (618) 241-8791
Fax: (618) 244-1926

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  • Organization
  • Family Medicine

About DEACONESS ILLINOIS CLINIC

This page provides the complete NPI Profile along with additional information for Deaconess Illinois Clinic, a primary care provider established in Salem, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1003532391 assigned on October 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Deaconess Illinois Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Deaconess Illinois Clinic. The authorized official of this NPI record is Kyle Dillman (Secretary / Treasurer)

NPI
1003532391
Provider Legal Name
DEACONESS ILLINOIS CLINIC, INC
Other Organization Name
DEACONESS ILLINOIS CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1201 RICKER RD SALEM, IL 62881
Location Phone
(618) 241-8791
Location Fax
(618) 244-1926
Mailing Address
PO BOX 34156 BELFAST, ME 04915
Mailing Phone
(812) 450-6815
Mailing Fax
(618) 244-1926
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2022
Last Update Date
12-02-2022
Code Navigator

A primary care provider (PCP) like Deaconess Illinois Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYLE DILLMAN

Authorized Official Title
SECRETARY / TREASURER
Authorized Official Phone
(812) 450-7399

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003532391, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 0 + 3 + 4 + 3 + 1 + 8 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1003532391.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse
1201 RICKER RD
SALEM, IL 62881
General Acute Care Hospital (Rural)
1201 RICKER RD
SALEM, IL 62881
Community Health Worker
1201 RICKER RD
SALEM, IL 62881
Nurse Practitioner (Family)
1201 RICKER RD
SALEM, IL 62881
Occupational Therapist
1201 RICKER RD
SALEM, IL 62881
Obstetrics & Gynecology
1201 RICKER RD
SALEM, IL 62881
Physical Therapist
1201 RICKER RD
SALEM, IL 62881
Nurse Practitioner (Family)
1201 RICKER RD
SALEM, IL 62881
Emergency Medicine
1201 RICKER RD
SALEM, IL 62881
General Acute Care Hospital (Critical Access)
1201 RICKER RD
SALEM, IL 62881
Physical Therapist
1201 RICKER RD
SALEM, IL 62881
Nurse Practitioner (Family)
1201 RICKER RD
SALEM, IL 62881
Occupational Therapist
1201 RICKER RD
SALEM, IL 62881
Nurse Practitioner
1201 RICKER RD
SALEM, IL 62881
Nurse Practitioner
1201 RICKER RD
SALEM, IL 62881
Orthopaedic Surgery
1201 RICKER RD
SALEM, IL 62881
Emergency Medicine
1201 RICKER RD
SALEM, IL 62881
Family Medicine
1201 RICKER RD
SALEM, IL 62881
Physical Therapist
1201 RICKER RD
SALEM, IL 62881
Physical Therapist
1201 RICKER RD
SALEM, IL 62881

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003532391, enumerated as an "organization" on October 18, 2022.

The provider is located at 1201 RICKER RD SALEM, IL 62881 and the phone number is (618) 241-8791.

Family Medicine with taxonomy code 207Q00000X.