Deaconess Illinois Specialty Clinic, Inc.
NPI 1972210235ActiveOrganization· Surgery· Marion, IL
Surgery in Marion, Illinois, registered in NPPES in November 2022. The authorized official on file is Kyle Dillman, Secretary Treasurer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972210235 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2022 |
| Last updated in NPPES | May 23, 2026 |
| Certified by provider | May 23, 2026 |
Specialties and licenses
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) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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