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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEACONESS ILLINOIS CLINIC, INC

Active Organization

DEACONESS ILLINOIS CLINIC, INC is a Family Medicine organization located in MOUNT VERNON, Illinois. NPI 1063128544 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MOUNT VERNON, IL

Registration Details

NPI Number
1063128544
Provider Type
Organization
NPI Issued
Jan 27, 2023 (3.5314855510477 yrs)
Last Updated
Jan 27, 2023

Practice Information

Address
4105 N WATER TOWER PL
MOUNT VERNON, IL, 628646296
Browse IL providers · Browse ZIP 62864
Phone
8124506815
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.