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

Deaconess Illinois Specialty Clinic, Inc

Organization Interventional Cardiology Physician · NPI 1386351849

Deaconess Illinois Specialty Clinic, Inc is an Interventional Cardiology Physician in Saint Louis, Missouri. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

1028 S Kirkwood Rd
Saint Louis, MO 63122-7222
Phone: (314) 287-6184
Fax: (314) 394-2253
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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
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1386351849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Dillman — Secretary Treasurer · (812) 450-7399
Other names Deaconess Il Specialty Kirkwood; St. Louis Cardiovascular
NPI enumeratedNovember 3, 2022
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing addressPo Box 34266, Belfast, ME 04915-0620

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