| Deaconess Illinois Clinic | |
|
1 Good Samaritan Way Mount Vernon IL 62864-2402 | |
| (812) 450-6815 | |
| (812) 450-6822 |
| Full Name | Deaconess Illinois Clinic |
|---|---|
| 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 Illinois Clinic Po Box 34156 Belfast ME 04915-0619 Ph: (812) 450-6815 | Deaconess Illinois Clinic 1 Good Samaritan Way Mount Vernon IL 62864-2402 Ph: (812) 450-6815 |
| NPI Number | 1245956523 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245956523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Deaconess Il Specialty 4117 Water Tower Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl Ste C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
Anderson Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3505 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-7788 Fax: 618-244-9330 | |
Deaconess Illinois Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4105 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 812-450-6815 | |
Deaconess Illinois Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
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King City Physician Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
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