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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 1245956523 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MOUNT VERNON, IL

Registration Details

NPI Number
1245956523
Provider Type
Organization
NPI Issued
Oct 18, 2022 (3.8081816246693 yrs)
Last Updated
Dec 2, 2022

Practice Information

Address
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL, 628642402
Browse IL providers · Browse ZIP 62864
Phone
8124506815
Fax
8124506822
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.