Deaconess Illinois Specialty Clinic, Inc
Deaconess Illinois Specialty Clinic, Inc is a Gastroenterology Physician in Benton, 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
205 Bailey Ln Ste FBenton, IL 62812-1921
Phone: (618) 882-4200
Fax: (618) 882-4208
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X |
|---|---|
| Gastroenterology Physician | Taxonomy 207RG0100X |
| Surgery Physician | Taxonomy 208600000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1629785183 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kyle Dillman — Secretary Treasurer · (812) 450-7399 |
| Other names | Deaconess Il Specialty Bailey Ln |
| NPI enumerated | November 3, 2022 |
| Last updated in NPPES | January 26, 2023 |
| Certification date | January 26, 2023 |
| Mailing address | Po Box 34266, Belfast, ME 04915-0620 |