DEACONESS IL SPECIALTY SPRING ST EMERGENCY
NPI 1053029330
Emergency Medicine in Red Bud, IL

Active since November 07, 2022
325 SPRING ST, RED BUD, IL 62278(618) 282-3831(618) 282-3550 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2023, Dec 2, 2022, Nov 9, 2022 (3 updates tracked since 2022).

About Deaconess Il Specialty Spring St Emergency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS IL SPECIALTY SPRING ST EMERGENCY (NPI 1053029330) is a healthcare organization registered as an emergency medicine in Red Bud, Illinois and active in the NPI registry since November 2022. The organization lists Kyle Dillman, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1053029330
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Location Address325 SPRING STRed Bud, IL 62278-1105
Mailing AddressPo Box 34266Belfast, ME 04915-0620 · (812) 450-6815 · Fax (812) 450-6822
Fax(618) 282-3550
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary Treasurer · (812) 450-7399
Enumeration DateNovember 7, 2022
Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1053029330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
325 SPRING ST, Red Bud, IL 62278

Other Names 1

Doing Business AsDeaconess Il Specialty Spring St Emergency

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
325 SPRING ST
RED BUD, IL 62278
Family Medicine
325 SPRING ST
RED BUD, IL 62278
Clinic/Center (Rural Health)
325 SPRING ST
RED BUD, IL 62278
Medicare Defined Swing Bed Unit
325 SPRING ST
RED BUD, IL 62278
Nurse Anesthetist, Certified Registered
325 SPRING ST
RED BUD, IL 62278
Internal Medicine (Geriatric Medicine)
325 SPRING ST
RED BUD, IL 62278
Speech-Language Pathologist
325 SPRING ST
RED BUD, IL 62278
Family Medicine
325 SPRING ST
RED BUD, IL 62278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deaconess Illinois Specialty Clinic, Inc.'s NPI number?

The NPI number for Deaconess Illinois Specialty Clinic, Inc. is 1053029330. It was assigned to this organization in the NPPES registry on November 7, 2022. The provider is doing business as Deaconess Il Specialty Spring St Emergency.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 325 Spring St, Red Bud, IL 62278. The listed phone number is (618) 282-3831.

What is Deaconess Illinois Specialty Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Deaconess Illinois Specialty Clinic, Inc. was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.