Organization · Type 2 NPI

Deaconess Illinois Clinic, Inc

Family Medicine Physician · Sparta, IL

NPI number 1225754526 Active

Practice location

205 S Burns Ave
Sparta, IL 62286-1867

Fax (618) 939-4256

Mailing address

PO Box 34156
Belfast, ME 04915-0619

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Interventional Cardiology Physician 207RI0011XNone 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.

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About NPI 1225754526

Deaconess Illinois Clinic, Inc's National Provider Identifier is 1225754526, issued on Oct 18, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Sparta, IL. The record was last updated on Dec 2, 2022.