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DEACONESS IL SPECIALTY EXPRESS 716 COMMERCIAL ST
NPI 1851008338
Nurse Practitioner in Harrisburg, IL

Active since November 03, 2022
716 S COMMERCIAL ST, HARRISBURG, IL 62946(618) 918-6060(618) 294-8238 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2023, Dec 2, 2022, Nov 9, 2022 and 1 more (4 updates tracked since 2022).

About Deaconess Il Specialty Express 716 Commercial St NPPES

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

DEACONESS IL SPECIALTY EXPRESS 716 COMMERCIAL ST (NPI 1851008338) is a healthcare organization registered as a nurse practitioner in Harrisburg, Illinois and active in the NPI registry since November 2022. The organization lists Kyle Dillman, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1851008338
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Location Address716 S COMMERCIAL STHarrisburg, IL 62946-2346
Mailing AddressPo Box 34266Belfast, ME 04915-0620 · (812) 450-6815 · Fax (812) 450-6822
Phone(618) 918-6060
Fax(618) 294-8238
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary Treasurer · (812) 450-7399
Enumeration DateNovember 3, 2022
Last NPPES UpdateJanuary 26, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1851008338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
716 S COMMERCIAL ST, Harrisburg, IL 62946
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Other Names 1

Doing Business AsDeaconess Il Specialty Express 716 Commercial St

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 4

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

FERRELL HOSPITAL COMMUNITY FOUNDATION
Clinic/Center (Rural Health)
716 S COMMERCIAL ST
HARRISBURG, IL 62946
Saline County (618) 294-8241
AMY MARIE QUERTERMOUS APN-BC
Nurse Practitioner
716 S COMMERCIAL ST
HARRISBURG, IL 62946
Saline County (618) 294-8241
DR. CLAYTON T FORD MD
Family Medicine
716 S COMMERCIAL ST
HARRISBURG, IL 62946
Saline County (618) 273-3361
DR. JACOB STEWART MD
Family Medicine
716 S COMMERCIAL ST
HARRISBURG, IL 62946
Saline County (618) 294-8241

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 1851008338. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Deaconess Il Specialty Express 716 Commercial St.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 716 S Commercial St, Harrisburg, IL 62946. The listed phone number is (618) 918-6060.

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

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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 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.