DEACONESS ILLINOIS CLINIC
NPI 1366169997
Family Medicine in Anna, IL

NPI Status: Active since October 25, 2022

Contact Information

515 N MAIN ST
ANNA, IL
ZIP 62906
Phone: (618) 833-4511
Fax: (618) 833-2414

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  • Organization
  • Family Medicine

About DEACONESS ILLINOIS CLINIC

This page provides the complete NPI Profile along with additional information for Deaconess Illinois Clinic, a primary care provider established in Anna, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1366169997 assigned on October 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Deaconess Illinois Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Deaconess Illinois Clinic. The authorized official of this NPI record is Kyle Dillman (Secretary / Treasurer)

NPI
1366169997
Provider Legal Name
DEACONESS ILLINOIS CLINIC, INC
Other Organization Name
DEACONESS ILLINOIS CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
515 N MAIN ST ANNA, IL 62906
Location Phone
(618) 833-4511
Location Fax
(618) 833-2414
Mailing Address
PO BOX 34156 BELFAST, ME 04915
Mailing Phone
(812) 450-6815
Mailing Fax
(618) 833-2414
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2022
Last Update Date
12-02-2022
Code Navigator

A primary care provider (PCP) like Deaconess Illinois Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

 
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYLE DILLMAN

Authorized Official Title
SECRETARY / TREASURER
Authorized Official Phone
(812) 450-7399

Reviews for DEACONESS ILLINOIS CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366169997
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231262618918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 2 + 6 + 1 + 8 + 9 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1366169997 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407852825DR. JOHN MICHAEL CERNY M.D.
Individual
Family Medicine515 N MAIN ST
ANNA, IL 62906
(618) 833-3300
1417945577DR. JOB B. PONTILLAS M.D.
Individual
Surgery515 N MAIN ST SUITE D
ANNA, IL 62906
(618) 833-2872
1528193299ANNA CLINIC CORP
Organization
Surgery515 N MAIN ST SUITE D
ANNA, IL 62906
(618) 833-2872
1801043864 TAMER AITI MD
Individual
Surgery (Surgical Oncology)515 N MAIN ST SUITE D
ANNA, IL 62906
(618) 833-4511
1184952582ANNA CLINIC CORP
Organization
Durable Medical Equipment & Medical Supplies515 N MAIN ST SUITE E
ANNA, IL 62906
(618) 833-2872
1104893627UNION COUNTY HOSPITAL DISTRICT
Organization
Surgery515 N MAIN ST
ANNA, IL 62906
(618) 833-2872
1467671263ANNA CLINIC CORP
Organization
Family Medicine515 N MAIN ST SUITE C
ANNA, IL 62906
(618) 833-2872

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366169997, enumerated in the NPI registry as an "organization" on October 25, 2022

The provider is located at 515 N Main St Anna, Il 62906 and the phone number is (618) 833-4511

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on October 25, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.