Deaconess Illinois Specialty Clinic, Inc.
NPI 1477260743ActiveOrganization· Orthopaedic Surgery· Mount Vernon, IL
Orthopaedic Surgery in Mount Vernon, Illinois, registered in NPPES in November 2022. The authorized official on file is Kyle Dillman, Secretary Treasurer.
Overview
| NPI | 1477260743 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2022 |
| Last updated in NPPES | Jan 26, 2023 |
| Certified by provider | Jan 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Family Medicine, Sports Medicine | 207QS0010X | — | — |
| Physician Assistant | 363A00000X | — | — |
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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