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

Deaconess Illinois Specialty Clinic, Inc

Organization Emergency Medicine Physician · NPI 1053029330

Deaconess Illinois Specialty Clinic, Inc is an Emergency Medicine Physician in Red Bud, Illinois. Medicare rates this hospital 4 out of 5. Registered with an NPI since 2022.

CMS rating
4 of 5
In the registry since
2022
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

CMS quality rating

4 out of 5 — official hospital rating from CMS Care Compare (CCN 141348)

Practice location Address checks out

325 Spring St
Red Bud, IL 62278-1105
Phone: (618) 282-3831
Fax: (618) 282-3550
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1053029330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Dillman — Secretary Treasurer · (812) 450-7399
Other names Deaconess Il Specialty Spring St Emergency
NPI enumeratedNovember 7, 2022
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing addressPo Box 34266, Belfast, ME 04915-0620

Other providers in Red Bud