DEACONESS ILLINOIS CLINIC
NPI 1770209082
Family Medicine in Red Bud, IL

Q: What is Deaconess Illinois Clinic, Inc's NPI number?

The NPI number for Deaconess Illinois Clinic, Inc is 1770209082. It was assigned to this organization in the NPPES registry on October 18, 2022. The provider is doing business as Deaconess Illinois Clinic.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 18, 2022

325 SPRING ST, RED BUD, IL 62278(618) 939-2273(618) 939-0245 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2022, Oct 18, 2022 (2 updates tracked since 2022).

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About Deaconess Illinois Clinic NPPES

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

DEACONESS ILLINOIS CLINIC (NPI 1770209082) is a healthcare organization registered as a family medicine in Red Bud, Illinois and active in the NPI registry since October 2022. The organization lists Kyle Dillman, Secretary / Treasurer, as its authorized official.

NPPES Registry Identity

NPI1770209082

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDEACONESS ILLINOIS CLINIC, INC

Location Address325 SPRING STRed Bud, IL 62278-1105

Mailing AddressPo Box 34156Belfast, ME 04915-0619 · (812) 450-6815 · Fax (812) 450-6822

Phone(618) 939-2273

Fax(618) 939-0245

Organization SubpartNo

Authorized OfficialKyle DillmanSecretary / Treasurer · (812) 450-7399

Enumeration DateOctober 18, 2022

Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration

NPPES CertifiedDecember 2, 2022

✔ NPI 1770209082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 · Interventional CardiologyTaxonomy 207RI0011X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

325 SPRING ST, Red Bud, IL 62278

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Other Names 1

Doing Business AsDeaconess Illinois Clinic

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 20

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

AMANDA LORIN TAYLOR HAWKINS DNP, FNP-C

Nurse Practitioner (Family)