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DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
NPI 1861346090
Clinic/Center - Rural Health in West Frankfort, IL

Active since February 24, 2026CLIA 14D2283001 · Waiver
909 W MAIN ST STE B, WEST FRANKFORT, IL 62896(618) 372-6040(618) 933-3090 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Deaconess Illinois Specialty Clinic, Inc. NPPES

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

DEACONESS ILLINOIS SPECIALTY CLINIC, INC. (NPI 1861346090), doing business as Deaconess Illinois Clinic Express, is a healthcare organization registered as a rural health in West Frankfort, Illinois and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Kyle Dillman, Secretary, as its authorized official.

NPPES Registry Identity

NPI1861346090
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Location Address909 W MAIN ST STE BWest Frankfort, IL 62896-2209
Mailing Address909 W Main St Ste BWest Frankfort, IL 62896-2209 · (618) 372-6040 · Fax (618) 933-3090
Phone(618) 372-6040
Fax(618) 933-3090
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary · (812) 450-7399
Enumeration DateFebruary 24, 2026
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1861346090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
909 W MAIN ST STE B, West Frankfort, IL 62896
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Other Names 1

Doing Business AsDeaconess Illinois Clinic Express

CLIA Laboratory Certificates CMS CLIA

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 14D2283001

Deaconess Illinois Specialty Clinic Express · West Frankfort, IL
Active · expires May 30, 2027
CLIA Number14D2283001
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorSabrina Stevens
Laboratory Phone(618) 372-6040
Laboratory LocationDeaconess Illinois Specialty Clinic Express909 W Main St, West Frankfort, IL 62896
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1861346090. It was assigned to this organization in the NPPES registry on February 24, 2026. The provider is doing business as Deaconess Illinois Clinic Express.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 909 W Main St Ste B, West Frankfort, IL 62896. The listed phone number is (618) 372-6040.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Deaconess Illinois Specialty Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2283001) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Deaconess Illinois Specialty Clinic, Inc. was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.