Deaconess Illinois Specialty Clinic, Inc.
NPI 1154036259ActiveOrganization· Nurse Practitioner· Marion, IL
Nurse Practitioner in Marion, Illinois, registered in NPPES in January 2023. The authorized official on file is Kyle Dillman, Secretary.
Overview
| NPI | 1154036259 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2023 |
| Last updated in NPPES | Jan 26, 2023 |
| Certified by provider | Jan 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinical Nurse Specialist, Occupational Health | 364SX0106X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Nurse Practitioner providers in Marion
- 1295591634
- 1992439293
- 1902371313
- 1053531541
- 1790391977
- 1265893051
- 1285871202
- 1528051182
- 1033768577
- 1811225055
- 1053064709
- 1437699147