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Deaconess Illinois Specialty Clinic, Inc.

Interventional Cardiology Physician in Saint Louis, MO · enumerated 2022 · authorized official Kyle Dillman, Secretary Treasurer.

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

National Provider Identifier

1386351849

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Illinois Specialty Clinic, Inc.
Other name <Unavail>
Practice address 1028 S Kirkwood Rd, Saint Louis, MO, 63122
Fax (314) 394-2253
Enumeration date Nov 3, 2022
Last updated in NPPES Jan 26, 2023

Taxonomy & classification

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kyle Dillman
Title Secretary Treasurer

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

Who is the authorized official for Deaconess Illinois Specialty Clinic, Inc.?
NPPES lists Kyle Dillman (Secretary Treasurer) as the authorized official for this organization.
What is the NPI number for Deaconess Illinois Specialty Clinic, Inc.?
The NPI for Deaconess Illinois Specialty Clinic, Inc. is 1386351849, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Kirkwood Ambulatory Surgery Center Ambulatory Surgical Clinic/Center · Saint Louis, MO NPI 1356415996 St. Louis Cardiovascular Institute, LLC Interventional Cardiology Physician · Kirkwood, MO NPI 1053799007 Missouri Heart and Vascular Institute, LLC Radiology Clinic/Center · Kirkwood, MO NPI 1417335167 St Louis Specialty Surgical Center LLC Certified Registered Nurse Anesthetist · Kirkwood, MO NPI 1962958389 St. Louis Cardiovascular Institute, LLC Interventional Cardiology Physician · Kirkwood, MO NPI 1548815491 Deaconess Illinois Clinic, Inc Family Medicine Physician · Saint Louis, MO NPI 1659097947 Cardio and Vascular Imaging LLC Clinic/Center · Kirkwood, MO NPI 1134908981 Kirkwood Vascular and Surgical Institute, LLC Ambulatory Surgical Clinic/Center · Kirkwood, MO NPI 1033090964

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