Deaconess Il Specialty 515 N Main St | |
515 N Main St Ste D Anna IL 62906-1668 | |
(618) 833-4511 | |
(618) 833-2414 |
Full Name | Deaconess Il Specialty 515 N Main St |
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Speciality | Family Medicine |
Location | 515 N Main St Ste D, Anna, Illinois |
Authorized Official Name and Position | Kyle Dillman (SECRETARY TREASURER) |
Authorized Official Contact | 8124507399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deaconess Il Specialty 515 N Main St Po Box 34266 Belfast ME 04915-0620 Ph: (812) 450-6815 | Deaconess Il Specialty 515 N Main St 515 N Main St Ste D Anna IL 62906-1668 Ph: (618) 833-4511 |
NPI Number | 1689381162 |
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Provider Enumeration Date | 11/03/2022 |
Last Update Date | 01/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689381162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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