Graduated: 2018
NPI: 1902371313
Practice Locations (2)
DEACONESS ILLINOIS CLINIC INC
205 BAILEY LN
BENTON, IL 628121921
6188824200
DEACONESS ILLINOIS CLINIC INC
303 S COMMERCIAL ST
HARRISBURG, IL 629462125
6189186060
Source: CMS National Downloadable File, September 2026.