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Deaconess Illinois Specialty Clinic, Inc.

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

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

National Provider Identifier

1629785183

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Illinois Specialty Clinic, Inc.
Other name <Unavail>
Practice address 205 Bailey Ln Ste F, Benton, IL, 62812
Phone (618) 882-4200
Fax (618) 882-4208
Enumeration date Nov 3, 2022
Last updated in NPPES Jan 26, 2023

Taxonomy & classification

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary
208600000X Surgery Physician Allopathic & Osteopathic Physicians 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

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 1629785183, a Type 2 (organization) record in the CMS NPPES registry.

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