Organization · Type 2 NPI

Deaconess Illinois Clinic, Inc

Surgery Physician · Marion, IL

NPI number 1407572860 Active

Practice location

3331 W Deyoung St
Marion, IL 62959-5896

Call (618) 998-7600 Map

Fax (618) 997-6680

Mailing address

PO Box 34156
Belfast, ME 04915-0619

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Cardiovascular Disease Physician	207RC0000X	None listed
Clinical Cardiac Electrophysiology Physician	207RC0001X	None listed
Gastroenterology Physician	207RG0100X	None listed
Hematology & Oncology Physician	207RH0003X	None listed
Interventional Cardiology Physician	207RI0011X	None listed
Pulmonary Disease Physician	207RP1001X	None listed
Surgery Physician Primary	208600000X	None listed
Vascular Surgery Physician	2086S0129X	None listed
Urology Physician	208800000X	None listed
Colon & Rectal Surgery Physician	208C00000X	None listed
Podiatrist	213E00000X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1407572860

Deaconess Illinois Clinic, Inc's National Provider Identifier is 1407572860, issued on Oct 18, 2022. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Marion, IL. The record was last updated on Dec 2, 2022.