Graduated: 2004
NPI: 1265635957
Practice Locations (2)
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
303 S COMMERCIAL ST
HARRISBURG, IL 629462125
6187676050
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
3331 W DEYOUNG ST
MARION, IL 629595896
6189987600
Source: CMS National Downloadable File, September 2026.