HomeNPI Verification

NPI Verification

National Provider Identifier: 1972210235

Deaconess Illinois Specialty Clinic, Inc.

Organization

Primary Specialty

Surgery

Code: 208600000X

All Specialties (14)

Specialist

Code: 174400000X

Allergy & Immunology

Code: 207K00000X

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Internal Medicine, Gastroenterology

Code: 207RG0100X

Internal Medicine, Pulmonary Disease

Code: 207RP1001X

Surgery, Plastic and Reconstructive Surgery

Code: 2086S0122X

Urology

Code: 208800000X

Colon & Rectal Surgery

Code: 208C00000X

Podiatrist, Foot & Ankle Surgery

Code: 213ES0103X

Physician Assistant

Code: 363A00000X

Nurse Practitioner

Code: 363L00000X

Surgery

Code: 208600000X

Primary

Practice Address

3331 W DEYOUNG ST

MARION, IL 629595896

Phone: 618-998-7155

NPI Enumeration Date

November 4, 2022

NPI Number

1972210235

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