| Deaconess Illinois Clinic, Inc | |
|
3329 W Deyoung St Marion IL 62959-5884 | |
| (618) 998-7177 | |
| (618) 998-7175 |
| Full Name | Deaconess Illinois Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3329 W Deyoung St, Marion, 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 3329 W Deyoung St Marion IL 62959-5884 Ph: (618) 998-7177 |
| NPI Number | 1538886114 |
|---|---|
| Provider Enumeration Date | 10/24/2022 |
| Last Update Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538886114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Michael P Lawler Md S Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 N Carbon St Ste 3, Marion, IL 62959 Phone: 618-967-7660 | |
Dr. James T. Lawler M.d. S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 N Carbon St, Marion, IL 62959 Phone: 618-993-0002 Fax: 855-385-3091 | |
Deaconess Illinois Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3411 Professional Park Dr, Marion, IL 62959 Phone: 618-969-8630 Fax: 618-969-8639 | |
Southern Spine & Rehab, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1616 W Main St Ste 200, Marion, IL 62959 Phone: 618-772-2999 | |
Health Plan Of Southern Illinois, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1028 N Market St, Marion, IL 62959 Phone: 618-993-8913 Fax: 618-997-2867 | |
Southern Illinois Medical Care Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3331 W Deyoung St, Suite 305, Marion, IL 62959 Phone: 618-998-7000 | |
Deaconess Illinois Specialty Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 W Deyoung St Ste F, Marion, IL 62959 Phone: 618-969-8633 Fax: 618-969-8639 |