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

Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier (NPI) is 1922715408, 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 Family Medicine 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 350 W South 1st St, Red Bud, IL 62278-1116.

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) 282-7373.

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 (1922715408) is active in the NPPES registry as of the last update on 2023-06-29.

OrganizationActive

Deaconess Illinois Specialty Clinic, Inc.

NPI 1922715408 · Family Medicine Physician · Red Bud, IL

Deaconess Illinois Specialty Clinic, Inc. is a Family Medicine Physician organization in Red Bud, IL (NPI 1922715408).

Provider details

NPI number: 1922715408
Entity type: Organization
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Kyle Dillman, Secretary Treasurer(812) 450-7399

Practice location

350 W South 1st St

Red Bud, IL 62278-1116

Phone: (618) 282-7373

Fax: (618) 282-7376

Street-level locationGet directions

More IL providers

Mailing address

Po Box 34266

Belfast, ME 04915-0620

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000X
Allopathic & Osteopathic Physicians
Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Urology Physician208800000X
Allopathic & Osteopathic Physicians
Pain Medicine Physician208VP0000X
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 Spring St Multispecialty
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: 2023-06-29
Certified: 2023-06-29

Frequently asked questions

What is Deaconess Illinois Specialty Clinic, Inc.'s NPI number?: Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier (NPI) is 1922715408, 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 Family Medicine 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 350 W South 1st St, Red Bud, IL 62278-1116.
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) 282-7373.
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 (1922715408) is active in the NPPES registry as of the last update on 2023-06-29.

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