What is Deaconess Illinois Specialty Clinic, Inc.'s NPI number?

Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier (NPI) is 1336856806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

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

Deaconess Illinois Specialty Clinic, Inc. is classified in the NPPES registry as Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc.'s practice location on file with NPPES is 509 Hamacher St, Waterloo, IL 62298-1592.

What is Deaconess Illinois Specialty Clinic, Inc.'s phone number?

The practice phone number listed in the NPPES registry for Deaconess Illinois Specialty Clinic, Inc. is (618) 939-4200.

Who is the authorized official for Deaconess Illinois Specialty Clinic, Inc.?

The authorized official listed on Deaconess Illinois Specialty Clinic, Inc.'s NPPES record is Kyle Dillman, Secretary Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Deaconess Illinois Specialty Clinic, Inc.'s NPI active?

Yes — Deaconess Illinois Specialty Clinic, Inc.'s NPI (1336856806) is active in the NPPES registry as of the last update on 2023-06-07.

OrganizationActive

Deaconess Illinois Specialty Clinic, Inc.

NPI 1336856806 · Interventional Cardiology Physician · Waterloo, IL

Deaconess Illinois Specialty Clinic, Inc. is a Interventional Cardiology Physician organization in Waterloo, IL (NPI 1336856806).

Provider details

NPI number: 1336856806
Entity type: Organization
Primary specialty: Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Kyle Dillman, Secretary Treasurer(812) 450-7399

Practice location

509 Hamacher St

Waterloo, IL 62298-1592

Phone: (618) 939-4200

Fax: (618) 939-4256

Street-level locationGet directions

More IL providers

Mailing address

Po Box 34266

Belfast, ME 04915-0620

Specialties & taxonomies

Interventional Cardiology PhysicianPrimary207RI0011X
Allopathic & Osteopathic Physicians
Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers

Other names (DBA / former)

Doing business as: Deaconess Il Specialty Hamacher St
Doing business as: St. Louis Cardiovascular

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2022-11-03
Last updated: 2023-06-07
Certified: 2023-06-07

Frequently asked questions

What is Deaconess Illinois Specialty Clinic, Inc.'s NPI number?: Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier (NPI) is 1336856806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Deaconess Illinois Specialty Clinic, Inc.?: Deaconess Illinois Specialty Clinic, Inc. is classified in the NPPES registry as Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
Where is Deaconess Illinois Specialty Clinic, Inc. located?: Deaconess Illinois Specialty Clinic, Inc.'s practice location on file with NPPES is 509 Hamacher St, Waterloo, IL 62298-1592.
What is Deaconess Illinois Specialty Clinic, Inc.'s phone number?: The practice phone number listed in the NPPES registry for Deaconess Illinois Specialty Clinic, Inc. is (618) 939-4200.
Who is the authorized official for Deaconess Illinois Specialty Clinic, Inc.?: The authorized official listed on Deaconess Illinois Specialty Clinic, Inc.'s NPPES record is Kyle Dillman, Secretary Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Deaconess Illinois Specialty Clinic, Inc.'s NPI active?: Yes — Deaconess Illinois Specialty Clinic, Inc.'s NPI (1336856806) is active in the NPPES registry as of the last update on 2023-06-07.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions