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DEACONESS IL CLINIC 303 COMMERCIAL ST
NPI 1285350504
Family Medicine in Harrisburg, IL

Active since October 18, 2022CLIA Certified · 2 labs
303 S COMMERCIAL ST, HARRISBURG, IL 62946(618) 918-6060(618) 294-8238 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2023, Jan 26, 2023, Dec 2, 2022 and 1 more (4 updates tracked since 2022).

About Deaconess Il Clinic 303 Commercial St NPPES

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

DEACONESS IL CLINIC 303 COMMERCIAL ST (NPI 1285350504) is a healthcare organization registered as a family medicine in Harrisburg, Illinois and active in the NPI registry since October 2022. The organization holds 2 active CLIA laboratory certificates and lists Kyle Dillman, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1285350504
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS ILLINOIS CLINIC, INC
Location Address303 S COMMERCIAL STHarrisburg, IL 62946-2125
Mailing AddressPo Box 34156Belfast, ME 04915-0619 · (812) 450-6815 · Fax (812) 450-6822
Phone(618) 918-6060
Fax(618) 294-8238
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary Treasurer · (812) 450-7399
Enumeration DateOctober 18, 2022
Last NPPES UpdateJuly 28, 20234 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1285350504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedNurse PractitionerTaxonomy 363L00000X
303 S COMMERCIAL ST, Harrisburg, IL 62946
Open in Google Maps ↗

Other Names 1

Doing Business AsDeaconess Il Clinic 303 Commercial St

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2242472

Deaconess Illinois Clinic Express · Harrisburg, IL
Active · expires Nov 8, 2027
CLIA Number14D2242472
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorJodi Bryant
Laboratory Phone(618) 918-6060
Laboratory LocationDeaconess Illinois Clinic Express716 Commercial St, Harrisburg, IL 62946
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2277265

Deaconess Illinois Clinic Deaconess Illinois Clinic · Harrisburg, IL
Active · expires Feb 22, 2027
CLIA Number14D2277265
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorJodi Bryant
Laboratory Phone(618) 918-6060
Laboratory LocationDeaconess Illinois Clinic Deaconess Illinois Clinic303 Commerical St, Harrisburg, IL 62946
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

BROOKE BRASIER
Massage Therapist
303 S COMMERCIAL ST, STE10
HARRISBURG, IL 62946
Saline County (618) 252-5555
ASHLEY ODLE
Massage Therapist
303 S COMMERCIAL ST, STE 10
HARRISBURG, IL 62946
Saline County (618) 252-5555
BRIAN K HESTER DC
Chiropractor
303 S COMMERCIAL ST, STE 10
HARRISBURG, IL 62946
Saline County (618) 252-5555
KIM FOWLER
Massage Therapist
303 S COMMERCIAL ST, STE 10
HARRISBURG, IL 62946
Saline County (618) 252-5555
KENNIS HAL WALLACE JR. RPH
Pharmacist
303 S COMMERCIAL ST, PARKER PLAZA
HARRISBURG, IL 62946
Saline County (618) 253-7621
CHRISTOPHER TRIPP PROCTOR ATC
Specialist/Technologist (Athletic Trainer)
303 S COMMERCIAL ST, SUITE 10
HARRISBURG, IL 62946
Saline County (618) 252-5555
DEACONESS ILLINOIS CLINIC, INC
Podiatrist
303 S COMMERCIAL ST
HARRISBURG, IL 62946
Saline County (618) 998-7998
INTEGRATED HEALTH OF SOUTHERN ILLINOIS, LTD.
Family Medicine (Sports Medicine)
303 S COMMERCIAL ST, STE 10
HARRISBURG, IL 62946
Saline County (618) 252-5555

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 Clinic, Inc's NPI number?

The NPI number for Deaconess Illinois Clinic, Inc is 1285350504. It was assigned to this organization in the NPPES registry on October 18, 2022. The provider is doing business as Deaconess Il Clinic 303 Commercial St.

Where is Deaconess Illinois Clinic, Inc located?

Deaconess Illinois Clinic, Inc is located at 303 S Commercial St, Harrisburg, IL 62946. The listed phone number is (618) 918-6060.

What is Deaconess Illinois Clinic, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Deaconess Illinois Clinic, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Deaconess Illinois Clinic, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Deaconess Illinois Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deaconess Illinois Clinic, Inc was last updated on July 28, 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.