Deaconess Illinois Clinic, Inc
NPI 1063104206ActiveOrganization· Family Medicine· Marion, IL
Family Medicine in Marion, Illinois, registered in NPPES in May 2023. The authorized official on file is Kyle Dillman, Secretary.
Overview
| NPI | 1063104206 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2023 |
| Last updated in NPPES | Jul 15, 2026 |
| Certified by provider | Jul 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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