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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 1558088138 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MOUNT VERNON, IL

Registration Details

NPI Number
1558088138
Provider Type
Organization
NPI Issued
Oct 24, 2022 (3.7917304894476 yrs)
Last Updated
Dec 2, 2022

Practice Information

Address
3111 BROADWAY ST
MOUNT VERNON, IL, 628642338
Browse IL providers · Browse ZIP 62864
Phone
6182410300
Fax
6182410302
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Nurse Practitioner
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.