DEACONESS ILLINOIS SPECIALTY CLINIC, INC. – NPI #1558067488
Hospitalist

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. is a hospitalist located in MARION, IL. NPPES has assigned the NPI number 1558067488 to DEACONESS ILLINOIS SPECIALTY CLINIC, INC. on February 02, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208M00000X from the Health Care Provider Taxonomy code set, which is classified as Hospitalist.

The NPI profile was last updated on Jan 19, 2025. 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
1558067488
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 Care Group Illinois
Primary location
3333 W DEYOUNG ST
MARION, IL 62959-5884
Phone: (618) 998-7000 Fax: (618) 998-7449
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
Phone: (812) 450-7399
Updated
Certification Date
Jan 19, 2025

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.

Taxonomy Classification / Specialization State License
208M00000X
- Hospitalist (Primary)
363L00000X
- Nurse Practitioner
2084N0400X
- Psychiatry & Neurology / Neurology

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.