Deaconess Illinois Clinic – Family Medicine Physician, NPI 1992422539

Deaconess Illinois Clinic is a healthcare provider. based in Belfast, Maine. specializing in Family Medicine Physician. The NPI Number for Deaconess Illinois Clinic is 1992422539

Main info

Organization
Name
Deaconess Illinois Clinic
NPI
1992422539
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

  • 818 E BROADWAY ST

    SPARTA, IL 622861820

    Phone: (618) 939-4200

    Fax: (618) 939-4256

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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.

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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)

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Reviews

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Frequently asked questions

Does Deaconess Illinois Clinic share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Deaconess Illinois Clinic uses 1992422539.
Does the file indicate Deaconess Illinois Clinic is practicing under active NPI?
Directory data currently reports Deaconess Illinois Clinic as active.
What is Deaconess Illinois Clinic's primary classification?
Family Medicine Physician is the headline specialty for Deaconess Illinois Clinic here. Clinical services aligned with this taxonomy classification.
What address line appears for Deaconess Illinois Clinic?
Deaconess Illinois Clinic's geographic hint is Belfast, Maine in our summary view.
Why does Deaconess Illinois Clinic have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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