Deaconess Illinois Clinic, Inc
Deaconess Illinois Clinic, Inc is a Family Medicine Physician in Sparta, 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.
Practice location Address checks out
818 E Broadway StSparta, IL 62286-1820
Phone: (618) 939-4200
Fax: (618) 939-4256
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Interventional Cardiology Physician | Taxonomy 207RI0011X |
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1992422539 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kyle Dillman — Secretary / Treasurer · (812) 450-7399 |
| Other names | Deaconess Illinois Clinic; Deaconess Illinois Clinic |
| NPI enumerated | October 25, 2022 |
| Last updated in NPPES | December 2, 2022 |
| Certification date | December 2, 2022 |
| Mailing address | Po Box 34156, Belfast, ME 04915-0619 |
Other providers in Sparta
-
Dr. Scott I Barclay, MD
1300 N Market St, Sparta, IL 62286-1048 · (618) 443-1337
-
David Taewoong Chung, MD
1300 N Market St, Sparta, IL 62286-1048 · (618) 443-4138
-
Russell Coulter, MD
Family Health Centre 207 South Burns Ave, Sparta, IL 62286 · (618) 443-3084
-
Deaconess Illinois Clinic, Inc
205 S Burns Ave, Sparta, IL 62286-1867 · (618) 443-2858
-
Febijesusola Deborah Oyelana, MD
818 E Broadway St, Sparta, IL 62286-1820 · (618) 443-2177
-
Elvira Salarda, MD
Sparta Medical Ofc 215 South Burns, Sparta, IL 62286 · (618) 443-4889