OrganizationActive
Deaconess Illinois Clinic, Inc
NPI 1366169997 · Family Medicine Physician · Anna, IL
Provider details
- NPI number
- 1366169997
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kyle Dillman, Secretary / Treasurer(812) 450-7399
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
515 N Main St
Anna, IL 62906-1668
Phone: (618) 833-4511
Fax: (618) 833-2414
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34156
Belfast, ME 04915-0619
Other names (DBA / former)
- Doing business as
- Deaconess Illinois Clinic
- Doing business as
- Deaconess Illinois Clinic
Registry dates
- Enumerated
- 2022-10-25
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.