DEACONESS IL SPECIALTY KIRKWOOD
NPI 1386351849
Internal Medicine - Interventional Cardiology in Saint Louis, MO

Active since November 03, 2022
1028 S KIRKWOOD RD, SAINT LOUIS, MO 63122(314) 287-6184(314) 394-2253 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2023, Dec 2, 2022, Nov 9, 2022 and 1 more (4 updates tracked since 2022).

About Deaconess Il Specialty Kirkwood NPPES

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

DEACONESS IL SPECIALTY KIRKWOOD (NPI 1386351849) is a healthcare organization registered as an interventional cardiology in Saint Louis, Missouri and active in the NPI registry since November 2022. The organization lists Kyle Dillman, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1386351849
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Location Address1028 S KIRKWOOD RDSaint Louis, MO 63122-7222
Mailing AddressPo Box 34266Belfast, ME 04915-0620 · (812) 450-6815 · Fax (812) 450-6822
Fax(314) 394-2253
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary Treasurer · (812) 450-7399
Enumeration DateNovember 3, 2022
Last NPPES UpdateJanuary 26, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1386351849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedNurse PractitionerTaxonomy 363L00000X
1028 S KIRKWOOD RD, Saint Louis, MO 63122

Other Names 2

Doing Business AsDeaconess Il Specialty Kirkwood
Doing Business AsSt. Louis Cardiovascular

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 8

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

Clinic/Center (Ambulatory Surgical)
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122
Internal Medicine (Interventional Cardiology)
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122
Clinic/Center
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122
Clinic/Center (Ambulatory Surgical)
1028 S KIRKWOOD RD
SAINT LOUIS, MO 63122
Clinic/Center (Radiology)
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122
Internal Medicine (Interventional Cardiology)
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122
Family Medicine
1028 S KIRKWOOD RD
SAINT LOUIS, MO 63122
Nurse Anesthetist, Certified Registered
1028 S KIRKWOOD RD
KIRKWOOD, MO 63122

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 1386351849. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Deaconess Il Specialty Kirkwood and St. Louis Cardiovascular.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 1028 S Kirkwood Rd, Saint Louis, MO 63122. The listed phone number is (314) 287-6184.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Deaconess Illinois Specialty Clinic, Inc. was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.