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Deaconess Illinois Clinic, Inc

Family Medicine Physician in Sparta, IL · enumerated 2022 · authorized official Kyle Dillman, Secretary / Treasurer.

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

National Provider Identifier

1992422539

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Illinois Clinic, Inc
Other name <Unavail>
Practice address 818 E Broadway St, Sparta, IL, 62286
Fax (618) 939-4256
Enumeration date Oct 25, 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
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

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 Sparta, IL.

Providers at this address

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