DEACONESS IL SPECIALTY GOOD SAMARITAN
NPI 1841907409
Family Medicine in Mount Vernon, IL

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

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

Active since November 03, 2022

1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 242-4600 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 2, 2022, Nov 9, 2022, Nov 3, 2022 (3 updates tracked since 2022).

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About Deaconess Il Specialty Good Samaritan NPPES

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

DEACONESS IL SPECIALTY GOOD SAMARITAN (NPI 1841907409) is a healthcare organization registered as a family medicine in Mount Vernon, Illinois and active in the NPI registry since November 2022. The organization lists Kyle Dillman, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1841907409

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402

Mailing AddressPo Box 34266Belfast, ME 04915-0620 · (812) 450-6815 · Fax (812) 450-6822

Phone(618) 242-4600

Organization SubpartNo

Authorized OfficialKyle DillmanSecretary Treasurer · (812) 450-7399

Enumeration DateNovember 3, 2022

Last NPPES UpdateDecember 2, 20223 updates tracked since enumeration

NPPES CertifiedDecember 2, 2022

✔ NPI 1841907409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

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Other Names 1

Doing Business AsDeaconess Il Specialty Good Samaritan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DR. EMMANUEL LOUTRIANAKIS MD

Internal Medicine (Interventional Cardiology)

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (847) 736-0506

DR. QING KEVIN LUO M.D.

Internal Medicine

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

GOOD SAMARITAN REGIONAL HEALTH CENTER

Rehabilitation Unit

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

ADELAIDE HORCHER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

MRS. JILL CLARKE PHARM. D.

Pharmacist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3426

KENT S QUINN MD

Radiology (Body Imaging)

1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

GOOD SAMARITAN REGIONAL HEALTH CENTER

Specialist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-4600

DEREK BURNS PHARMD

Pharmacist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3426

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 1841907409. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Deaconess Il Specialty Good Samaritan.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 1 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 242-4600.

What is Deaconess Illinois Specialty 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 Specialty 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.