Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Deaconess Illinois Specialty Clinic, Inc.

Q: What is the NPI number for Deaconess Illinois Specialty Clinic, Inc.?

The NPI for Deaconess Illinois Specialty Clinic, Inc. is 1053029330, a Type 2 (organization) record in the CMS NPPES registry.

Emergency Medicine Physician in Red Bud, IL · enumerated 2022 · authorized official Kyle Dillman, Secretary Treasurer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053029330

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Registry record

Entity type Organization (Type 2)

Legal business name Deaconess Illinois Specialty Clinic, Inc.

Other name <Unavail>

Practice address 325 Spring St, Red Bud, IL, 62278

Phone (618) 282-3831

Fax (618) 282-3550

Enumeration date Nov 7, 2022

Last updated in NPPES Jan 26, 2023

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Primary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kyle Dillman

Title Secretary Treasurer

Phone (812) 450-7399

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Deaconess Illinois Specialty Clinic, Inc.?

The NPI for Deaconess Illinois Specialty Clinic, Inc. is 1053029330, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Deaconess Illinois Specialty Clinic, Inc.?

NPPES lists Kyle Dillman (Secretary Treasurer) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-26.