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Deaconess Illinois Clinic, Inc

Family Medicine Physician in Marion, IL · enumerated 2023 · authorized official Kyle Dillman, Secretary.

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

National Provider Identifier

1063104206

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Illinois Clinic, Inc
Practice address 3411 Professional Park Dr, Marion, IL, 62959
Phone (618) 969-8630
Fax (618) 969-8639
Enumeration date May 25, 2023
Last updated in NPPES May 25, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kyle Dillman
Title Secretary
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.

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Frequently asked questions

Where is Deaconess Illinois Clinic, Inc located?
The practice location on file with NPPES is in Marion, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-05-25. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-25.