| Deaconess Il Specialty Good Samaritan | |
|
1 Good Samaritan Way Mount Vernon IL 62864-2402 | |
| (618) 242-4600 | |
| Not Available |
| Full Name | Deaconess Il Specialty Good Samaritan |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Good Samaritan Way, Mount Vernon, 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 |
|---|---|
| Deaconess Il Specialty Good Samaritan Po Box 34266 Belfast ME 04915-0620 Ph: (812) 450-6815 | Deaconess Il Specialty Good Samaritan 1 Good Samaritan Way Mount Vernon IL 62864-2402 Ph: (618) 242-4600 |
| NPI Number | 1841907409 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841907409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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