| Deaconess Illinois Specialty Clinic, Inc. | |
|
205 Bailey Ln Ste F Benton IL 62812-1921 | |
| (618) 918-0645 | |
| (618) 918-6046 |
| Full Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| 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 Specialty Clinic, Inc. 205 Bailey Ln Ste F Benton IL 62812-1921 Ph: (618) 918-0645 | Deaconess Illinois Specialty Clinic, Inc. 205 Bailey Ln Ste F Benton IL 62812-1921 Ph: (618) 918-0645 |
| NPI Number | 1578417705 |
|---|---|
| Provider Enumeration Date | 02/24/2026 |
| Last Update Date | 02/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578417705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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 | |
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 | |
Saeed A. Khan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Bailey Ln, Benton, IL 62812 Phone: 618-435-8189 Fax: 618-439-3173 |