DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Nurse Practitioner

NPI: 1497462964Organization

Specialties, Licenses & Credentials

Sports Medicine (Family Medicine) Physician

Family Medicine — Sports Medicine

Code: 207QS0010X

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

Contact & Hours

Address: 3111 BROADWAY ST
MOUNT VERNON, IL 62864
Phone: (618) 241-0300

Quick Facts

NPI: 1497462964
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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