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Deaconess Illinois Clinic, Inc

Surgery 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

1407572860

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Illinois Clinic, Inc
Other name <Unavail>
Practice address 3331 W Deyoung St, Marion, IL, 62959
Fax (618) 997-6680
Enumeration date Oct 18, 2022
Last updated in NPPES Dec 2, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians Secondary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
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

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 2022-12-02. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-02.