Organization · Type 2 NPI

Deaconess Illinois Clinic, Inc

Family Medicine Physician · Marion, IL

NPI number 1063104206 Active

Practice location

3411 Professional Park Dr
Marion, IL 62959-6394

Call (618) 969-8630 Map

Fax (618) 969-8639

Mailing address

PO Box 632330
Cincinnati, OH 45263-2330

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Pediatrics Physician 208000000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone 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.

7 other providers at this address

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About NPI 1063104206

Deaconess Illinois Clinic, Inc's National Provider Identifier is 1063104206, issued on May 25, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Marion, IL. The record was last updated on Jul 15, 2026.