DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
NPI 1972210235
Surgery in Marion, IL

NPI Status: Active since November 04, 2022

Contact Information

3331 W DEYOUNG ST
MARION, IL
ZIP 62959
Phone: (618) 998-7155
Fax: (618) 998-7285

Get Directions Write a Review

  • Organization
  • Surgery

About DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Deaconess Illinois Specialty Clinic, Inc., a provider established in Marion, Illinois operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1972210235 assigned on November 2022. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated May 2026. Deaconess Illinois Specialty Clinic, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Kyle Dillman (Secretary Treasurer)

NPI
1972210235
Provider Legal Name
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3331 W DEYOUNG ST MARION, IL 62959
Location Phone
(618) 998-7155
Location Fax
(618) 998-7285
Mailing Address
PO BOX 34266 BELFAST, ME 04915
Mailing Phone
(812) 450-6815
Mailing Fax
(618) 998-7285
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2022
Last Update Date
05-23-2026
Code Navigator

A surgeon like Deaconess Illinois Specialty Clinic, Inc. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

 
2207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

 
3207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
4207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
5207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
6207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

 
7207RN0300XAllopathic & Osteopathic Physicians

Internal Medicine
Nephrology

 
8207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 
92086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

 
10208800000XAllopathic & Osteopathic Physicians

Urology

 
11208C00000XAllopathic & Osteopathic Physicians

Colon & Rectal Surgery

 
12213ES0103XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot & Ankle Surgery

 
13363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
14363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYLE DILLMAN

Authorized Official Title
SECRETARY TREASURER
Authorized Official Phone
(812) 450-7399

Reviews for DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972210235, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 4 + 1 + 0 + 2 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1972210235.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Otolaryngology
3331 W DEYOUNG ST, STE 208
MARION, IL 62959
Urology
3331 W DEYOUNG ST, STE 105
MARION, IL 62959
Internal Medicine (Cardiovascular Disease)
3331 W DEYOUNG ST
MARION, IL 62959
Internal Medicine (Cardiovascular Disease)
3331 W DEYOUNG ST, SUITE 100
MARION, IL 62959
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3331 W DEYOUNG ST, STE 109
MARION, IL 62959
Obstetrics & Gynecology
3331 W DEYOUNG ST, SUITE 201
MARION, IL 62959
Physician Assistant
3331 W DEYOUNG ST, SUITE 201
MARION, IL 62959
Neurological Surgery
3331 W DEYOUNG ST, STE 308
MARION, IL 62959
Nurse Practitioner
3331 W DEYOUNG ST, STE 308
MARION, IL 62959
Urology
3331 W DEYOUNG ST, SUITE105
MARION, IL 62959
Internal Medicine (Cardiovascular Disease)
3331 W DEYOUNG ST, STE 100
MARION, IL 62959
Internal Medicine (Cardiovascular Disease)
3331 W DEYOUNG ST, SUITE 100
MARION, IL 62959
Family Medicine
3331 W DEYOUNG ST
MARION, IL 62959
Family Medicine
3331 W DEYOUNG ST, SUITE 207
MARION, IL 62959
Family Medicine
3331 W DEYOUNG ST, SUITE 207
MARION, IL 62959
Family Medicine
3331 W DEYOUNG ST, SUITE 305
MARION, IL 62959
Obstetrics & Gynecology
3331 W DEYOUNG ST, SUITE 201
MARION, IL 62959
Surgery
3331 W DEYOUNG ST
MARION, IL 62959
Family Medicine
3331 W DEYOUNG ST
MARION, IL 62959
Internal Medicine
3331 W DEYOUNG ST, SUITE 203
MARION, IL 62959

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972210235, enumerated as an "organization" on November 04, 2022.

The provider is located at 3331 W DEYOUNG ST MARION, IL 62959 and the phone number is (618) 998-7155.

Surgery with taxonomy code 208600000X.