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

Deaconess Illinois Specialty Clinic, Inc

Organization Hematology & Oncology Physician · NPI 1588477855

Deaconess Illinois Specialty Clinic, Inc is a Hematology & Oncology Physician in Mount Vernon, Illinois. Registered with an NPI since 2025.

In the registry since
2025
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

8 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone: (618) 244-1380
Fax: (618) 244-1380
Show map & directions

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

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1588477855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Dillman — Secretary / Treasurer · (812) 450-7399
Other names Deaconess Il Specialty Doctors Park; Deaconess Il Specialty Doctors Park
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025
Mailing addressPo Box 632331, Cincinnati, OH 45263-2331

Other providers in Mount Vernon