DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
NPI 1336845015
Emergency Medicine in Marion, IL

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

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since February 03, 2023

3333 W DEYOUNG ST, MARION, IL 62959(618) 998-7000(618) 998-7449 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1336845015), doing business as Deaconess Illinois Emergency Room Physicians, is a healthcare organization registered as an emergency medicine in Marion, Illinois and active in the NPI registry since February 2023. The organization lists Kyle Dillman, Secretary, as its authorized official.

NPPES Registry Identity

NPI1336845015

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Location Address3333 W DEYOUNG STMarion, IL 62959-5884

Mailing AddressPo Box 34266Belfast, ME 04915-0620 · (812) 450-6815 · Fax (812) 450-6822

Phone(618) 998-7000

Fax(618) 998-7449

Organization SubpartNo

Authorized OfficialKyle DillmanSecretary · (812) 450-7399

Enumeration DateFebruary 3, 2023

NPPES CertifiedFebruary 3, 2023

✔ NPI 1336845015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3333 W DEYOUNG ST, Marion, IL 62959

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Other Names 1

Doing Business AsDeaconess Illinois Emergency Room Physicians

Group Practice 1

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 20

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

DAVID I BLUE CRNA

Nurse Anesthetist, Certified Registered