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 provides Diagnostic Radiology Physician services 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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