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DEACONESS ILLINOIS CLINIC
NPI 1316663636
Family Medicine in Anna, IL

Active since October 18, 2022
513 N MAIN ST, ANNA, IL 62906(618) 998-7177(618) 998-7742 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2022, Oct 18, 2022 (2 updates tracked since 2022).

About Deaconess Illinois Clinic NPPES

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

DEACONESS ILLINOIS CLINIC (NPI 1316663636) is a healthcare organization registered as a family medicine in Anna, Illinois and active in the NPI registry since October 2022. The organization lists Kyle Dillman, Secretary / Treasurer, as its authorized official.

NPPES Registry Identity

NPI1316663636
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS ILLINOIS CLINIC, INC
Location Address513 N MAIN STAnna, IL 62906-1668
Mailing AddressPo Box 34156Belfast, ME 04915-0619 · (812) 450-6815 · Fax (812) 450-6822
Phone(618) 998-7177
Fax(618) 998-7742
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary / Treasurer · (812) 450-7399
Enumeration DateOctober 18, 2022
Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1316663636 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 ListedOrthopaedic SurgeryTaxonomy 207X00000X
513 N MAIN ST, Anna, IL 62906
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Other Names 1

Doing Business AsDeaconess Illinois Clinic

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.

MARLA WILLIAMS
Social Worker (Clinical)
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
RURAL HEALTH, INC.
Case Manager/Care Coordinator
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
THOMAS J LARKIN III DMD
Dentist
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
JACOB W RIBBING PA
Physician Assistant
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
KEITH SAMUEL BASS NP-C
Nurse Practitioner (Family)
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
DR. MICHAEL PETER HOLUB D.D.S.
Dentist (General Practice)
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
JEFFREY ALAN SHERRILL PA-C
Physician Assistant (Medical)
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Orthopaedic Surgery
513 N MAIN ST
ANNA, IL 62906
Union County (618) 998-7177

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 1316663636. It was assigned to this organization in the NPPES registry on October 18, 2022. The provider is doing business as Deaconess Illinois Clinic.

Where is Deaconess Illinois Clinic, Inc located?

Deaconess Illinois Clinic, Inc is located at 513 N Main St, Anna, IL 62906. The listed phone number is (618) 998-7177.

What is Deaconess Illinois Clinic, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Deaconess Illinois Clinic, Inc was last updated on December 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.