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 1386361400

Deaconess Illinois Clinic, Inc is a Family Medicine Physician in Waterloo, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

509 Hamacher St Ste 102
Waterloo, IL 62298-1592
Phone: (812) 450-6815
Fax: (812) 450-6822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1386361400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Dillman — Secretary · (812) 450-7399
Other names Deaconess Il Clinic Hamacher St
NPI enumeratedOctober 20, 2022
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing addressPo Box 34156, Belfast, ME 04915-0619

Other providers in Waterloo