Family Medicine
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1003523374 · enumerated 2022-11-04 · record updated 2023-01-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KYLE DILLMAN, Secretary Treasurer · (812) 450-7399
Other names: DEACONESS IL SPECIALTY 4117 WATER TOWER
Addresses and phones
- Mailing address PO BOX 34266, BELFAST, ME, 04915-0620 (812) 450-6815 Fax (812) 450-6822 Google Maps Apple Maps OpenStreetMap
- Practice location 4117 S WATER TOWER PL STE C, MOUNT VERNON, IL, 62864-6567 (618) 242-0672 Fax (618) 242-0862 Google Maps Apple Maps OpenStreetMap
Specialties
- Otolaryngology 207Y00000X
- Audiologist 231H00000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
MOUNT VERNON, IL, 628646567
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.