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

Deaconess Specialty Physicians, Inc

Organization Cardiovascular Disease Physician · NPI 1174295224

Deaconess Specialty Physicians, Inc is a Cardiovascular Disease Physician in Carmi, Illinois. Registered with an NPI since 2021.

In the registry since
2021
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

1103 W Main St
Carmi, IL 62821-1380
Phone: (618) 842-4617
Fax: (618) 380-4565
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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
Cardiovascular Disease Physician Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X

Record details

NPI number1174295224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Secretary-Treasurer · (812) 450-3296
NPI enumeratedSeptember 28, 2021
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 10, 2021
Mailing addressPo Box 1230, Evansville, IN 47706-1230

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