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Deaconess Illinois Specialty Clinic, Inc.

Nurse Practitioner in Marion, IL · enumerated 2023 · authorized official Kyle Dillman, Secretary.

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

National Provider Identifier

1154036259

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Illinois Specialty Clinic, Inc.
Other name <Unavail>
Practice address 3331 W Deyoung St Ste 101, Marion, IL, 62959
Fax (618) 998-7533
Enumeration date Jan 23, 2023
Last updated in NPPES Jan 26, 2023

Taxonomy & classification

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary
364SX0106X Occupational Health Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kyle Dillman
Title Secretary

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 type of organization is Deaconess Illinois Specialty Clinic, Inc.?
Deaconess Illinois Specialty Clinic, Inc. is registered in NPPES as a Nurse Practitioner (its primary provider taxonomy).
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.

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