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Deaconess Illinois Clinic, Inc

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

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

National Provider Identifier

1063128544

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Illinois Clinic, Inc
Practice address 4105 N Water Tower Pl, Mount Vernon, IL, 62864
Phone (812) 450-6815
Enumeration date Jan 27, 2023
Last updated in NPPES Jan 27, 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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Deaconess Illinois Clinic, Inc?
Deaconess Illinois Clinic, Inc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-27.