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

Deaconess Illinois Specialty Clinic, Inc

Organization Nurse Practitioner · NPI 1154036259

Deaconess Illinois Specialty Clinic, Inc is a Nurse Practitioner in Marion, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

3331 W Deyoung St Ste 101
Marion, IL 62959-5896
Phone: (618) 998-7169
Fax: (618) 998-7533
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Occupational Health Clinical Nurse Specialist Taxonomy 364SX0106X

Record details

NPI number1154036259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Dillman — Secretary · (812) 450-7399
Other names Deaconess Il Specialty Clinic Occupational Health; Deaconess Il Specialty Clinic Occupational Health
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address3331 W Deyoung St Ste 101, Marion, IL 62959-5896

Other providers in Marion