DEACONESS IL SPECIALTY BAILEY LN
NPI 1629785183
Orthopaedic Surgery in Benton, IL
About Deaconess Il Specialty Bailey Ln NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS IL SPECIALTY BAILEY LN (NPI 1629785183) is a healthcare organization registered as an orthopaedic surgery in Benton, Illinois and active in the NPI registry since November 2022. The organization holds 2 active CLIA laboratory certificates and lists Kyle Dillman, Secretary Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2331517
Deaconess Illinois Sprecialty Clinic · Benton, ILCertificate of Waiver 14D2266989
Deaconess Illinois Clinic · Benton, ILOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BENTON, IL 62812
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 1629785183. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Deaconess Il Specialty Bailey Ln.
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) 882-4200.
What is Deaconess Illinois Specialty Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Does Deaconess Illinois Specialty Clinic, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
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.