| Deaconess Illinois Clinic | |
|
1028 S Kirkwood Rd Saint Louis MO 63122-7222 | |
| (314) 287-6184 | |
| (314) 394-2253 |
| Full Name | Deaconess Illinois Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1028 S Kirkwood Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Kyle Dillman (SECRETARY / TREASURER) |
| Authorized Official Contact | 8124507399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Illinois Clinic Po Box 34156 Belfast ME 04915-0619 Ph: (812) 450-6815 | Deaconess Illinois Clinic 1028 S Kirkwood Rd Saint Louis MO 63122-7222 Ph: (314) 287-6184 |
| NPI Number | 1659097947 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659097947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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