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Deaconess Illinois Specialty Clinic, Inc.

Family Medicine Physician in Marion, IL · enumerated 2022 · authorized official Kyle Dillman, Secretary Treasurer.

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

National Provider Identifier

1134836695

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Illinois Specialty Clinic, Inc.
Other name <Unavail>
Practice address 2700 W Deyoung St Ste F, Marion, IL, 62959
Phone (618) 969-8633
Fax (618) 969-8639
Enumeration date Nov 3, 2022
Last updated in NPPES Jan 26, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-01-26. Verify at npiregistry.cms.hhs.gov.
Where is Deaconess Illinois Specialty Clinic, Inc. located?
The practice location on file with NPPES is in Marion, IL.

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