Deaconess Illinois Clinic – Family Medicine Physician, NPI 1114644747

Deaconess Illinois Clinic is a healthcare provider. based in Belfast, Maine. specializing in Family Medicine Physician. The NPI Number for Deaconess Illinois Clinic is 1114644747

Main info

Organization
Name
Deaconess Illinois Clinic
NPI
1114644747
Phone
(812) 450-6815
Address
PO BOX 34156
Authorized Official
KYLE DILLMAN SECRETARY / TREASURER
Enumeration Date
25 October 2022
Last Update Date
2 December 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Deaconess Illinois Clinic

  • PO BOX 34156

    BELFAST, ME 049150619

    Phone: (812) 450-6815

    Fax: (812) 450-6822

    Type: Mailing

  • 4113 S WATER TOWER PL

    MOUNT VERNON, IL 628646293

    Phone: (618) 241-9071

    Fax: (618) 241-9079

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04915)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Deaconess Illinois Clinic's NPI number?
Deaconess Illinois Clinic's NPI is 1114644747 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to Deaconess Illinois Clinic?
You should see Deaconess Illinois Clinic as active in CMS-hosted NPPES data.
How would a patient describe Deaconess Illinois Clinic's focus?
For Deaconess Illinois Clinic, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Deaconess Illinois Clinic located near Belfast?
Deaconess Illinois Clinic currently maps to Belfast, Maine in this extract.
When was this NPI issued?
Enumeration for Deaconess Illinois Clinic is noted as October 25, 2022 where the registry provides it.

Similar Providers

TIMBERLAND MEDICAL GROUP

Family Medicine Physician
PO BOX 19059
NPI: 1528061157

WILLIAMSTON CLINIC CORP

Family Medicine Physician
PO BOX 19034
NPI: 1811990443
PO BOX 13731
NPI: 1316940935

VILLAGE FAMILY PRACTICE, L.L.P

Family Medicine Physician
Katy Freeway, Houston, Harris County, Texas, 77201, United States
NPI: 1083619191

DR. DAVID G WALKER (M.D.)

Family Medicine Physician
PO BOX 11785
NPI: 1205832367

STEVEN C BARNETT (M.D.)

Family Medicine Physician
PO BOX 13059
NPI: 1396741245

MEDFORD MEDICAL CLINIC, LLP

Family Medicine Physician
PO BOX 7841
NPI: 1366449662

DR. ROBERT D. III BARNES (M.D.)

Family Medicine Physician
3838 N 1ST AVE # E
NPI: 1184621989

DR. PAMELA RAE VALKA (D.O.)

Family Medicine Physician
3125 N DYSART RD
NPI: 1174521207