HomeNPI Verification

NPI Verification

National Provider Identifier: 1295442556

Deaconess Illinois Specialty Clinic, Inc.

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (9)

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Gastroenterology

Code: 207RG0100X

Internal Medicine, Pulmonary Disease

Code: 207RP1001X

Surgery

Code: 208600000X

Urology

Code: 208800000X

Colon & Rectal Surgery

Code: 208C00000X

Nurse Practitioner

Code: 363L00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

209 CROSSROADS PL

MOUNT VERNON, IL 628646545

Phone: 618-244-1937

NPI Enumeration Date

November 4, 2022

NPI Number

1295442556

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry