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 Specialist · NPI 1972210235

Deaconess Illinois Specialty Clinic, Inc is a Specialist in Marion, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
15
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

3331 W Deyoung St
Marion, IL 62959-5896
Phone: (618) 998-7155
Fax: (618) 998-7285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Specialist Taxonomy 174400000X
Allergy & Immunology Physician Taxonomy 207K00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Gastroenterology Physician Taxonomy 207RG0100X
Nephrology Physician Taxonomy 207RN0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X
Urology Physician Taxonomy 208800000X
Colon & Rectal Surgery Physician Taxonomy 208C00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1972210235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Dillman — Secretary Treasurer · (812) 450-7399
Other names Deaconess Il Specialty 3331 Deyoung; River To River Heart Group; Southern Illinois Vein Clinic
NPI enumeratedNovember 4, 2022
Last updated in NPPESMay 23, 2026
Certification dateMay 23, 2026
Mailing addressPo Box 34266, Belfast, ME 04915-0620

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