DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1497462964- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3111 BROADWAY ST, MOUNT VERNON, IL, 628642338
- Phone
- (618) 241-0300
- Fax
- (618) 241-0302
Specialties & Taxonomies
Family Medicine, Sports Medicine
Nurse Practitioner
Primary