Organization · Type 2 NPI

Deaconess Illinois Specialty Clinic, Inc.

Surgery Physician · Marion, IL

NPI number 1972210235 Active

Practice location

3331 W Deyoung St
Marion, IL 62959-5896

Fax (618) 998-7285

Mailing address

PO Box 34266
Belfast, ME 04915-0620

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Allergy & Immunology Physician 207K00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Gastroenterology Physician 207RG0100XNone listed
Nephrology Physician 207RN0300XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Surgery Physician Primary 208600000XNone listed
Plastic and Reconstructive Surgery Physician 2086S0122XNone listed
Urology Physician 208800000XNone listed
Colon & Rectal Surgery Physician 208C00000XNone listed
Foot & Ankle Surgery Podiatrist 213ES0103XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone 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 1972210235

Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier is 1972210235, issued on Nov 4, 2022. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Marion, IL. The record was last updated on May 23, 2026.