DEACONESS IL SPECIALTY SPRING ST MULTISPECIALTY - NPI 1922715408

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

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

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About Deaconess Il Specialty Spring St Multispecialty NPPES

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

DEACONESS IL SPECIALTY SPRING ST MULTISPECIALTY (NPI 1922715408) is a healthcare organization registered as a family medicine in Red Bud, Illinois and active in the NPI registry since November 2022. The organization lists Kyle Dillman, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1922715408

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Location Address350 W SOUTH 1ST STRed Bud, IL 62278-1116

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

Phone(618) 282-7373

Fax(618) 282-7376

Organization SubpartNo

Authorized OfficialKyle DillmanSecretary Treasurer · (812) 450-7399

Enumeration DateNovember 3, 2022

Last NPPES UpdateJune 29, 20234 updates tracked since enumeration

NPPES CertifiedJune 29, 2023

✔ NPI 1922715408 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

350 W SOUTH 1ST ST, Red Bud, IL 62278

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Other Names 2

Doing Business AsDeaconess Il Specialty Spring St Multispecialty

Doing Business AsSt. Louis Cardiovascular

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 2

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

DEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC

Skilled Nursing Facility

350 W SOUTH 1ST ST
RED BUD, IL 62278

Randolph County (618) 282-3891

RED BUD ILLINOIS HOSPITAL COMPANY LLC

Nursing Facility/Intermediate Care Facility

350 W SOUTH 1ST ST
RED BUD, IL 62278

Randolph County (618) 282-3891

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 1922715408. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Deaconess Il Specialty Spring St Multispecialty and St. Louis Cardiovascular.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 350 W South 1st St, Red Bud, IL 62278. The listed phone number is (618) 282-7373.

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 June 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.