DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
NPI 1578417705
Clinic/Center - Rural Health in Benton, IL

Active since February 24, 2026
205 BAILEY LN STE F, BENTON, IL 62812(618) 918-0645(618) 918-6046 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1578417705), doing business as Deaconess Illinois Clinic Gi And Family Medicine, is a healthcare organization registered as a rural health in Benton, Illinois and active in the NPI registry since February 2026. The organization lists Kyle Dillman, Secretary, as its authorized official.

NPPES Registry Identity

NPI1578417705
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Location Address205 BAILEY LN STE FBenton, IL 62812-1921
Mailing Address205 Bailey Ln Ste FBenton, IL 62812-1921 · (618) 918-0645 · Fax (618) 918-6046
Fax(618) 918-6046
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary · (812) 450-7399
Enumeration DateFebruary 24, 2026
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
NPI 1578417705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
205 BAILEY LN STE F, Benton, IL 62812

Other Names 1

Doing Business AsDeaconess Illinois Clinic Gi And Family Medicine

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Rural Health)
205 BAILEY LN STE F
BENTON, IL 62812
Orthopaedic Surgery
205 BAILEY LN STE F
BENTON, IL 62812
Family Medicine
205 BAILEY LN STE F
BENTON, IL 62812

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 1578417705. It was assigned to this organization in the NPPES registry on February 24, 2026. The provider is doing business as Deaconess Illinois Clinic GI and Family Medicine.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 205 Bailey Ln Ste F, Benton, IL 62812. The listed phone number is (618) 918-0645.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Deaconess Illinois Specialty Clinic, Inc. was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.