| Deaconess Illinois Clinic, Inc | |
|
205 Bailey Ln Ste F Benton IL 62812-1921 | |
| (618) 882-4200 | |
| (618) 882-4208 |
| Full Name | Deaconess Illinois Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 205 Bailey Ln Ste F, Benton, Illinois |
| Authorized Official Name and Position | Kyle Dillman (SECRETARY) |
| Authorized Official Contact | 8124507399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Illinois Clinic, Inc Po Box 34156 Belfast ME 04915-0619 Ph: (812) 450-6815 | Deaconess Illinois Clinic, Inc 205 Bailey Ln Ste F Benton IL 62812-1921 Ph: (618) 882-4200 |
| NPI Number | 1790401081 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790401081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Franklin Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Bailey Lane, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-4049 | |
Crossroads Physicians Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Bailey Ln, Benton, IL 62812 Phone: 618-438-3621 Fax: 618-438-3622 | |
Health Plan Of Southern Illinois, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Bailey Ln, Benton, IL 62812 Phone: 618-439-3706 Fax: 618-435-2023 | |
Franklin Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Bailey Lane, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-4049 | |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 E Church St Ste B, Benton, IL 62812 Phone: 618-435-9888 Fax: 618-435-9889 | |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Smith St Ste B, Benton, IL 62812 Phone: 618-435-9315 Fax: 618-435-9316 | |
Deaconess Illinois Specialty Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Bailey Ln Ste F, Benton, IL 62812 Phone: 618-918-0645 Fax: 618-918-6046 |