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DEACONESS ILLINOIS SPECIALTY CLINIC INC. NPI 1780369132


NPI Information

NPI: 1780369132
Provider Name: DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Classification: Hospitalist - 208M00000X
Entity Type: Organization
Address:
325 SPRING ST
RED BUD, IL
ZIP 62278
Phone: (618) 769-3360
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DEACONESS ILLINOIS SPECIALTY CLINIC, INC. is a hospitalist in Red Bud, IL. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DEACONESS ILLINOIS SPECIALTY CLINIC, INC. NPI is 1780369132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

325 SPRING ST
RED BUD, IL
ZIP 62278-105
Phone: (618) 769-3360

The provider's authorized official is Kyle Dillman .
The authorized official title is Secretary and has the following contact phone number (812) 450-7399.

The enumeration date for this NPI number is 6/21/2023 and was last updated on 6/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208M00000XHospitalistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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