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Deaconess Illinois Specialty Clinic, Inc.

Orthopaedic Surgery Physician in Mount Vernon, IL · enumerated 2022 · authorized official Kyle Dillman, Secretary Treasurer.

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

National Provider Identifier

1477260743

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Illinois Specialty Clinic, Inc.
Other name <Unavail>
Practice address 4113 S Water Tower Pl, Mount Vernon, IL, 62864
Phone (618) 241-9071
Fax (618) 241-9079
Enumeration date Nov 4, 2022
Last updated in NPPES Jan 26, 2023

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant 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 Mount Vernon, IL.

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