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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 1093432627 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MOUNT VERNON, IL

Registration Details

NPI Number
1093432627
Provider Type
Organization
NPI Issued
Oct 25, 2022 (3.7890332589563 yrs)
Last Updated
Dec 2, 2022

Practice Information

Address
4117 S WATER TOWER PL
MOUNT VERNON, IL, 628646567
Browse IL providers · Browse ZIP 62864
Phone
6182420672
Fax
6182420862
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
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.