1. Home
  2. Directory
  3. Illinois
  4. Waterloo
  5. Family Medicine
  6. NPI Profile

DEACONESS IL CLINIC HAMACHER ST
NPI 1386361400
Family Medicine in Waterloo, IL

Active since October 20, 2022
509 HAMACHER ST STE 102, WATERLOO, IL 62298(812) 450-6815(812) 450-6822 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2023, Dec 2, 2022, Oct 20, 2022 (3 updates tracked since 2022).

About Deaconess Il Clinic Hamacher St NPPES

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

DEACONESS IL CLINIC HAMACHER ST (NPI 1386361400) is a healthcare organization registered as a family medicine in Waterloo, Illinois and active in the NPI registry since October 2022. The organization lists Kyle Dillman, Secretary, as its authorized official.

NPPES Registry Identity

NPI1386361400
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS ILLINOIS CLINIC, INC
Location Address509 HAMACHER ST STE 102Waterloo, IL 62298-1592
Mailing AddressPo Box 34156Belfast, ME 04915-0619 · (812) 450-6815 · Fax (812) 450-6822
Phone(812) 450-6815
Fax(812) 450-6822
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary · (812) 450-7399
Enumeration DateOctober 20, 2022
Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1386361400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
509 HAMACHER ST STE 102, Waterloo, IL 62298
Open in Google Maps ↗

Other Names 1

Doing Business AsDeaconess Il Clinic Hamacher 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

Other Providers at the Same Location NPPES

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

SHANNA WITGES APRN NP-C
Nurse Practitioner
509 HAMACHER ST STE 102
WATERLOO, IL 62298
Monroe County (618) 939-3939

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 1386361400. It was assigned to this organization in the NPPES registry on October 20, 2022. The provider is doing business as Deaconess Il Clinic Hamacher St.

Where is Deaconess Illinois Clinic, Inc located?

Deaconess Illinois Clinic, Inc is located at 509 Hamacher St Ste 102, Waterloo, IL 62298. The listed phone number is (812) 450-6815.

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 January 26, 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.