Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid America Radiology SC

Organization Diagnostic Radiology Physician · NPI 1770538282

Mid America Radiology SC is a Diagnostic Radiology Physician in Mount Vernon, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1 Good Samaritan Way Radiology Dept
Mount Vernon, IL 62864-2402
Phone: (618) 242-4600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1770538282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerrold Willis — President · (618) 242-4600
NPI enumeratedMay 23, 2006
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021
Mailing addressPo Box 2153 Dept 20002, Birmingham, AL 35287-0001

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