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

DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Active Organization

DEACONESS ILLINOIS SPECIALTY CLINIC, INC. is a Occupational Health Nurse Practitioner organization located in MOUNT VERNON, Illinois. NPI 1679270763 is currently active in the NPPES registry. Verify at CMS.

Occupational Health Nurse Practitioner · MOUNT VERNON, IL

Registration Details

NPI Number
1679270763
Provider Type
Organization
NPI Issued
Feb 9, 2023 (3.5431256779555 yrs)
Last Updated
Feb 9, 2023

Practice Information

Address
3111 BROADWAY ST
MOUNT VERNON, IL, 628642338
Browse IL providers · Browse ZIP 62864
Phone
6182410333
Fax
6182410334
Primary Specialty
Occupational Health Nurse Practitioner
363LX0106X
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.