OrganizationActive
Deaconess Illinois Specialty Clinic, Inc.
NPI 1134836612 · Orthopaedic Surgery Physician · Anna, IL
Provider details
- NPI number
- 1134836612
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kyle Dillman, Secretary Treasurer(812) 450-7399
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
513 N Main St
Anna, IL 62906-1668
Phone: (618) 998-7177
Fax: (618) 998-7742
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34266
Belfast, ME 04915-0620
Other names (DBA / former)
- Doing business as
- Deaconess Il Specialty 513 N Main St
Registry dates
- Enumerated
- 2022-11-03
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.