Southern Illinois Imaging Associates, LLC

NPI #1114019312 in Waterloo, Illinois

Provider Information

NPI Number
1114019312
Entity Type
Organization
Organization Name
Southern Illinois Imaging Associates, LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Sep 28, 2006
Last Updated
Jan 28, 2008

Practice Location

Address
509 HAMACHER ST
Address 2
SUITE 300
ZIP Code
62298-1592
Phone
(618) 939-9790

Authorized Official

Name
MICHAEL D. O'BRIEN
Title
AUTHORIZED OFFICIAL
Phone
(513) 281-3400

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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