Organization · Type 2 NPI

Deaconess Illinois Clinic, Inc

Family Medicine Physician · Salem, IL

NPI number 1003532391 Active

Practice location

1201 Ricker Rd
Salem, IL 62881-4263

Call (618) 241-8791 Map

Fax (618) 244-1926

Mailing address

PO Box 34156
Belfast, ME 04915-0619

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed
Physician Assistant	363A00000X	None 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.

28 other providers at this address

Other family medicine physician providers in Salem

See all in Salem →

NPI record

NPI: 1003532391
Entity type: Organization (Type 2)
Issued: Oct 18, 2022
Last updated: Dec 2, 2022
Status: Active

Other names

<unavail>
Deaconess Illinois Clinic · doing business as
Deaconess Illinois Clinic · doing business as

Authorized official

Kyle Dillman
Secretary / Treasurer
(812) 450-7399

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1003532391

Deaconess Illinois Clinic, Inc's National Provider Identifier is 1003532391, issued on Oct 18, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Salem, IL. The record was last updated on Dec 2, 2022.