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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 WATERLOO, Illinois. NPI 1386361400 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WATERLOO, IL

Registration Details

NPI Number
1386361400
Provider Type
Organization
NPI Issued
Oct 20, 2022 (3.80718639733 yrs)
Last Updated
Jan 26, 2023

Practice Information

Address
509 HAMACHER ST STE 102
WATERLOO, IL, 622981592
Browse IL providers · Browse ZIP 62298
Phone
8124506815
Fax
8124506822
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Gastroenterology
Additional Specialty
Physician Assistant
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.