Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deaconess Illinois Clinic, Inc

Organization Family Medicine Physician · NPI 1326836206

Deaconess Illinois Clinic, Inc is a Family Medicine Physician in Carterville, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 Logan College Drive J Bldg
Carterville, IL 62918
Phone: (618) 926-6698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1326836206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Dillman — Secretary Treasurer · (812) 450-7399
Other names Deaconess Illinois Clinic John A Logan; Deaconess Illinois Clinic John A Logan
NPI enumeratedApril 29, 2025
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 632330, Cincinnati, OH 45263-2330

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