Graduated: 2019
NPI: 1962041830
Practice Locations (2)
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
303 S COMMERCIAL ST
HARRISBURG, IL 629462125
6187676050
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
909 W MAIN ST
WEST FRANKFORT, IL 628962209
6183726040
Source: CMS National Downloadable File, September 2026.