DEACONESS ILLINOIS CLINIC - NPI 1992422539 - Family Medicine in Sparta, IL

Q: What is Deaconess Illinois Clinic, Inc's NPI number?

The NPI number for Deaconess Illinois Clinic, Inc is 1992422539. It was assigned to this organization in the NPPES registry on October 25, 2022. The provider is doing business as Deaconess Illinois Clinic.

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

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

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About Deaconess Illinois Clinic NPPES

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

DEACONESS ILLINOIS CLINIC (NPI 1992422539) is a healthcare organization registered as a family medicine in Sparta, Illinois and active in the NPI registry since October 2022. The organization lists Kyle Dillman, Secretary / Treasurer, as its authorized official.

NPPES Registry Identity

NPI1992422539

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDEACONESS ILLINOIS CLINIC, INC

Location Address818 E BROADWAY STSparta, IL 62286-1820

Mailing AddressPo Box 34156Belfast, ME 04915-0619 · (812) 450-6815 · Fax (812) 450-6822

Phone(618) 939-4200

Fax(618) 939-4256

Organization SubpartNo

Authorized OfficialKyle DillmanSecretary / Treasurer · (812) 450-7399

Enumeration DateOctober 25, 2022

Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration

NPPES CertifiedDecember 2, 2022

✔ NPI 1992422539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

818 E BROADWAY ST, Sparta, IL 62286

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Other Names 1

Doing Business AsDeaconess Illinois 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 17

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

OLIVIA NELL STRICKLEY RD

Dietitian, Registered