Organization · Type 2 NPI

Deaconess Illinois Specialty Clinic, Inc.

Family Medicine Physician · Mount Vernon, IL

NPI number 1003523374 Active

Practice location

4117 S Water Tower Pl Ste C
Mount Vernon, IL 62864-6567

Call (618) 242-0672 Map

Fax (618) 242-0862

Mailing address

PO Box 34266
Belfast, ME 04915-0620

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Audiologist 231H00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1003523374

Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier is 1003523374, issued on Nov 4, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jan 26, 2023.