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DEACONESS ILLINOIS CLINIC
NPI 1801513577
Family Medicine in Mount Vernon, IL

Active since October 24, 2022
209 CROSSROADS PL, MOUNT VERNON, IL 62864(618) 244-1937(618) 241-9079 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2022, Oct 24, 2022 (2 updates tracked since 2022).

About Deaconess Illinois Clinic NPPES

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

DEACONESS ILLINOIS CLINIC (NPI 1801513577) is a healthcare organization registered as a family medicine in Mount Vernon, Illinois and active in the NPI registry since October 2022. The organization lists Kyle Dillman, Secretary / Treasurer, as its authorized official.

NPPES Registry Identity

NPI1801513577
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS ILLINOIS CLINIC, INC
Location Address209 CROSSROADS PLMount Vernon, IL 62864-6545
Mailing AddressPo Box 34156Belfast, ME 04915-0619 · (812) 450-6815 · Fax (812) 450-6822
Phone(618) 244-1937
Fax(618) 241-9079
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary / Treasurer · (812) 450-7399
Enumeration DateOctober 24, 2022
Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1801513577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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 · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
209 CROSSROADS PL, Mount Vernon, IL 62864
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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 16

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

CROSSROADS PHYSICIAN CORP
Family Medicine
209 CROSSROADS PL, SUITE 140
MOUNT VERNON, IL 62864
Jefferson County (618) 241-7207
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Family Medicine
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-1937
MRS. ALEXIS NOELLE FISCHER FNP-C
Nurse Practitioner (Family)
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 322-5053
MRS. SONYA MCKINNEY APRN
Nurse Practitioner
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6222
GARY M REAGAN MD
Urology
209 CROSSROADS PL, SUITE 110
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6710
CROSSROADS PHYSICIAN CORP
Surgery
209 CROSSROADS PL, SUITE 130
MOUNT VERNON, IL 62864
Jefferson County (618) 242-3831
S THOMAS SEHY DPM LLC
Podiatrist
209 CROSSROADS PL, SUITE 130
MOUNT VERNON, IL 62864
Jefferson County (314) 241-9411
TY MILLER NP
Registered Nurse
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-8100

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 1801513577. It was assigned to this organization in the NPPES registry on October 24, 2022. The provider is doing business as Deaconess Illinois Clinic.

Where is Deaconess Illinois Clinic, Inc located?

Deaconess Illinois Clinic, Inc is located at 209 Crossroads Pl, Mount Vernon, IL 62864. The listed phone number is (618) 244-1937.

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 December 2, 2022. 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.