DEACONESS IL SPECIALTY CLINIC OCCUPATIONAL HEALTH
NPI 1154036259
Nurse Practitioner in Marion, IL

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

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 23, 2023

3331 W DEYOUNG ST STE 101, MARION, IL 62959(618) 998-7169(618) 998-7533 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Deaconess Il Specialty Clinic Occupational Health NPPES

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

DEACONESS IL SPECIALTY CLINIC OCCUPATIONAL HEALTH (NPI 1154036259) is a healthcare organization registered as a nurse practitioner in Marion, Illinois and active in the NPI registry since January 2023. The organization lists Kyle Dillman, Secretary, as its authorized official.

NPPES Registry Identity

NPI1154036259

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Location Address3331 W DEYOUNG ST STE 101Marion, IL 62959-5896

Mailing Address3331 W Deyoung St Ste 101Marion, IL 62959-5896 · (618) 998-7169 · Fax (618) 998-7533

Phone(618) 998-7169

Fax(618) 998-7533

Organization SubpartNo

Authorized OfficialKyle DillmanSecretary · (812) 450-7399

Enumeration DateJanuary 23, 2023

Last NPPES UpdateJanuary 26, 2023

NPPES CertifiedJanuary 26, 2023

✔ NPI 1154036259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinical Nurse Specialist · Occupational HealthTaxonomy 364SX0106X

3331 W DEYOUNG ST STE 101, Marion, IL 62959

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Other Names 1

Doing Business AsDeaconess Il Specialty Clinic Occupational Health

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

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

MRS. JENNIFER NICOLE FARTHING ATC

Specialist/Technologist (Athletic Trainer)

3331 W DEYOUNG ST STE 101
MARION, IL 62959

Williamson County (618) 559-0169

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 1154036259. It was assigned to this organization in the NPPES registry on January 23, 2023. The provider is doing business as Deaconess Il Specialty Clinic Occupational Health.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 3331 W Deyoung St Ste 101, Marion, IL 62959. The listed phone number is (618) 998-7169.

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

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.