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

Deaconess Illinois Specialty Clinic, Inc

Organization Dermatology Physician · NPI 1245173129

Deaconess Illinois Specialty Clinic, Inc is a Dermatology Physician in Eldorado, Illinois. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
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

1201 Pine St
Eldorado, IL 62930-1634
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

Dermatology Physician (primary) Taxonomy 207N00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1245173129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Dillman — Secretary / Treasurer · (812) 450-7399
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing addressPo Box 632331, Cincinnati, OH 45263-2331