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

Active since November 04, 2022
3331 W DEYOUNG ST, MARION, IL 62959(618) 998-7155(618) 998-7285 Get Directions Write a Review

NPPES record last updated: May 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2026, Aug 7, 2023, Jan 26, 2023 and 3 more (6 updates tracked since 2022).

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 1972210235), doing business as Deaconess Il Specialty 3331 Deyoung, is a healthcare organization registered as a surgery in Marion, Illinois and active in the NPI registry since November 2022. The organization lists Kyle Dillman, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1972210235
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Location Address3331 W DEYOUNG STMarion, IL 62959-5896
Mailing AddressPo Box 34266Belfast, ME 04915-0620 · (812) 450-6815 · Fax (812) 450-6822
Fax(618) 998-7285
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary Treasurer · (812) 450-7399
Enumeration DateNovember 4, 2022
Last NPPES UpdateMay 23, 20266 updates tracked since enumeration
NPPES CertifiedMay 23, 2026
NPI 1972210235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
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.
Also ListedSpecialistTaxonomy 174400000X
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
Also ListedUrologyTaxonomy 208800000X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3331 W DEYOUNG ST, Marion, IL 62959

Other Names 3

Doing Business AsDeaconess Il Specialty 3331 Deyoung
Doing Business AsRiver To River Heart Group
Doing Business AsSouthern Illinois Vein Clinic

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 20

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

Family Medicine
3331 W DEYOUNG ST, SUITE 305
MARION, IL 62959
Internal Medicine (Cardiovascular Disease)
3331 W DEYOUNG ST, SUITE 100
MARION, IL 62959
Neurological Surgery
3331 W DEYOUNG ST, STE 308
MARION, IL 62959
Family Medicine
3331 W DEYOUNG ST
MARION, IL 62959
Internal Medicine (Interventional Cardiology)
3331 W DEYOUNG ST, STE 308
MARION, IL 62959
Family Medicine
3331 W DEYOUNG ST, SUITE 207
MARION, IL 62959
Internal Medicine
3331 W DEYOUNG ST, SUITE 203
MARION, IL 62959
Physician Assistant
3331 W DEYOUNG ST, SUITE 201
MARION, IL 62959

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 1972210235. It was assigned to this organization in the NPPES registry on November 4, 2022. The provider is doing business as Deaconess IL Specialty 3331 DeYoung, River to River Heart Group and Southern Illinois Vein Clinic.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 3331 W Deyoung St, Marion, IL 62959. The listed phone number is (618) 998-7155.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Deaconess Illinois Specialty Clinic, Inc. was last updated on May 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.