Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Deaconess Illinois Clinic, Inc

Family Medicine 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

1659097947

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Deaconess Illinois Clinic, Inc

Other name <Unavail>

Practice address 1028 S Kirkwood Rd, Saint Louis, MO, 63122

Phone (314) 287-6184

Fax (314) 394-2253

Enumeration date Oct 18, 2022

Last updated in NPPES Dec 2, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

207RI0011X Interventional Cardiology 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.

Read the full guide → Validate an NPI →

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

Where is Deaconess Illinois Clinic, Inc located?

The practice location on file with NPPES is in Saint Louis, MO.

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 Specialty Clinic, Inc. Interventional Cardiology Physician · Saint Louis, MO NPI 1386351849 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 2022-12-02.