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 Plan acceptance stays unpublished until the practice reports it.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 1841907409 · enumerated 2022-11-03 · record updated 2022-12-02. 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 GOOD SAMARITAN
Addresses and phones
- Practice location 1 GOOD SAMARITAN WAY, MOUNT VERNON, IL, 62864-2402 (618) 242-4600 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 34266, BELFAST, ME, 04915-0620 (812) 450-6815 Fax (812) 450-6822 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
MOUNT VERNON, IL, 628642402
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.