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
- 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) |
---|---|---|---|---|
1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
2 | 363L00000X | Physician 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.
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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. | |||||||||
1 | 3 | 6 | 6 | 1 | 6 | 9 | 9 | 9 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 12 | 6 | 2 | 6 | 18 | 9 | 18 | |
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 = 7 | 7 |
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 |
---|---|---|---|
1407852825 | DR. JOHN MICHAEL CERNY M.D. Individual | Family Medicine | 515 N MAIN ST ANNA, IL 62906 (618) 833-3300 |
1417945577 | DR. JOB B. PONTILLAS M.D. Individual | Surgery | 515 N MAIN ST SUITE D ANNA, IL 62906 (618) 833-2872 |
1528193299 | ANNA CLINIC CORP Organization | Surgery | 515 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 |
1184952582 | ANNA CLINIC CORP Organization | Durable Medical Equipment & Medical Supplies | 515 N MAIN ST SUITE E ANNA, IL 62906 (618) 833-2872 |
1104893627 | UNION COUNTY HOSPITAL DISTRICT Organization | Surgery | 515 N MAIN ST ANNA, IL 62906 (618) 833-2872 |
1467671263 | ANNA CLINIC CORP Organization | Family Medicine | 515 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].
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