Deaconess Illinois Specialty Clinic, Inc
Deaconess Illinois Specialty Clinic, Inc is an Interventional Cardiology 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.
Practice location Address checks out
509 Hamacher StWaterloo, IL 62298-1592
Phone: (618) 939-4200
Fax: (618) 939-4256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Cardiology Physician (primary) | Taxonomy 207RI0011X |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X |
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1336856806 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kyle Dillman — Secretary Treasurer · (812) 450-7399 |
| Other names | Deaconess Il Specialty Hamacher St; St. Louis Cardiovascular |
| NPI enumerated | November 3, 2022 |
| Last updated in NPPES | June 7, 2023 |
| Certification date | June 7, 2023 |
| Mailing address | Po Box 34266, Belfast, ME 04915-0620 |
Other providers in Waterloo
-
Mr. William R Reilly, MD
509 Hamacher St Ste 204, Waterloo, IL 62298-1592 · (618) 939-4200
-
Southern Illinois Healthcare Foundation Inc
509 Hamacher St Ste 201, Waterloo, IL 62298-1592 · (618) 332-0953