DEACONESS ILLINOIS SPECIALTY CLINIC, INC. – NPI #1972210235
Surgery

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.

DEACONESS ILLINOIS SPECIALTY CLINIC, INC. is a surgeon located in MARION, IL. NPPES has assigned the NPI number 1972210235 to DEACONESS ILLINOIS SPECIALTY CLINIC, INC. on November 04, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The NPI data also shows multiple names associated with this provider such as Deaconess IL Specialty 3331 DeYoung and 2 other listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 23, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEACONESS ILLINOIS SPECIALTY CLINIC, INC. below.

NPI Profile for
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

NPI Number
1972210235
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Other name(s)
All associated names:
Doing Business As (dba)
Deaconess IL Specialty 3331 DeYoung
Doing Business As (dba)
River to River Heart Group
Doing Business As (dba)
Southern Illinois Vein Clinic
Primary location
3331 W DEYOUNG ST
MARION, IL 62959-5896
Phone: (618) 998-7155 Fax: (618) 998-7285
Mailing address
PO BOX 34266
BELFAST, ME 04915-0620
Phone: (812) 450-6815 Fax: (812) 450-6822
Organization Subpart
No
Authorized Official
KYLE DILLMAN
SECRETARY TREASURER
Phone: (812) 450-7399
Updated
Certification Date
May 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.