DEACONESS ILLINOIS CLINIC, INC
NPI 1326836206
Family Medicine in Carterville, IL

Q: What is Deaconess Illinois Clinic, Inc's NPI number?

The NPI number for Deaconess Illinois Clinic, Inc is 1326836206. It was assigned to this organization in the NPPES registry on April 29, 2025. The provider is doing business as Deaconess Illinois Clinic John A Logan.

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

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

Active since April 29, 2025

700 LOGAN COLLEGE DRIVE, J BUILDING, CARTERVILLE, IL 62918(618) 926-6698 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Deaconess Illinois Clinic, Inc NPPES

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

DEACONESS ILLINOIS CLINIC, INC (NPI 1326836206), doing business as Deaconess Illinois Clinic John A Logan, is a healthcare organization registered as a family medicine in Carterville, Illinois and active in the NPI registry since April 2025. The organization lists Kyle Dillman, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1326836206

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDEACONESS ILLINOIS CLINIC, INC

Location Address700 LOGAN COLLEGE DRIVE, J BUILDINGCarterville, IL 62918

Mailing AddressPo Box 632330Cincinnati, OH 45263-2330 · (618) 219-1311

Phone(618) 926-6698

Organization SubpartNo

Authorized OfficialKyle DillmanSecretary Treasurer · (812) 450-7399

Enumeration DateApril 29, 2025

Last NPPES UpdateMay 7, 2025

NPPES CertifiedMay 7, 2025

✔ NPI 1326836206 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

700 LOGAN COLLEGE DRIVE, Carterville, IL 62918

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Other Names 1

Doing Business AsDeaconess Illinois Clinic John A Logan

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

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 1326836206. It was assigned to this organization in the NPPES registry on April 29, 2025. The provider is doing business as Deaconess Illinois Clinic John A Logan.

Where is Deaconess Illinois Clinic, Inc located?

Deaconess Illinois Clinic, Inc is located at 700 Logan College Drive J Building, Carterville, IL 62918. The listed phone number is (618) 926-6698.

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 May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.