DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
NPI 1245173129
Dermatology in Eldorado, IL

Active since April 14, 2026
1201 PINE ST, ELDORADO, IL 62930(812) 450-6815(812) 450-6822 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deaconess Illinois Specialty Clinic, Inc. NPPES

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

DEACONESS ILLINOIS SPECIALTY CLINIC, INC. (NPI 1245173129) is a healthcare organization registered as a dermatology in Eldorado, Illinois and active in the NPI registry since April 2026. The organization lists Kyle Dillman, Secretary / Treasurer, as its authorized official.

NPPES Registry Identity

NPI1245173129
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Location Address1201 PINE STEldorado, IL 62930-1634
Mailing AddressPo Box 632331Cincinnati, OH 45263-2331 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 450-6822
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary / Treasurer · (812) 450-7399
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
NPI 1245173129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1201 PINE ST, Eldorado, IL 62930

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Speech-Language Pathologist
1201 PINE ST
ELDORADO, IL 62930
Social Worker (Clinical)
1201 PINE ST
ELDORADO, IL 62930
Podiatrist
1201 PINE ST
ELDORADO, IL 62930
Surgery
1201 PINE ST
ELDORADO, IL 62930
Emergency Medicine
1201 PINE ST
ELDORADO, IL 62930
Dietitian, Registered
1201 PINE ST
ELDORADO, IL 62930
Emergency Medicine
1201 PINE ST
ELDORADO, IL 62930
Nurse Practitioner (Family)
1201 PINE ST
ELDORADO, IL 62930

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 1245173129. It was assigned to this organization in the NPPES registry on April 14, 2026.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 1201 Pine St, Eldorado, IL 62930. The listed phone number is (812) 450-6815.

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

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Deaconess Illinois Specialty Clinic, Inc. was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.