Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Deaconess Illinois Specialty 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

1972210235

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Registry record

Entity type Organization (Type 2)

Legal business name Deaconess Illinois Specialty Clinic, Inc.

Other name <Unavail>

Practice address 3331 W Deyoung St, Marion, IL, 62959

Phone (618) 998-7155

Fax (618) 998-7285

Enumeration date Nov 4, 2022

Last updated in NPPES May 23, 2026

Taxonomy & classification

174400000X Specialist Other Service Providers Secondary

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Secondary

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians Secondary

208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary

208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians Secondary

213ES0103X Foot & Ankle Surgery 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

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

What type of organization is Deaconess Illinois Specialty Clinic, Inc.?

Deaconess Illinois Specialty Clinic, Inc. is registered in NPPES as a Surgery Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-23.