Deaconess Illinois Specialty Clinic, Inc
Deaconess Illinois Specialty Clinic, Inc is an Occupational Health Nurse Practitioner in Mount Vernon, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3111 Broadway StMount Vernon, IL 62864-2338
Phone: (618) 241-0333
Fax: (618) 241-0334
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
| Occupational Health Nurse Practitioner (primary) | Taxonomy 363LX0106X |
|---|
Record details
| NPI number | 1679270763 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kyle Dillman — Secretary · (812) 450-7399 |
| Other names | Deaconess Illinois Specialty Clinic Occupational Health Broadway |
| NPI enumerated | February 9, 2023 |
| Last updated in NPPES | February 9, 2023 |
| Certification date | February 9, 2023 |
| Mailing address | 3111 Broadway St, Mount Vernon, IL 62864-2338 |