SOUTHERN ILLINOIS IMAGING ASSOCIATES, LLC
NPI 1114019312
Radiology - Diagnostic Radiology in Waterloo, IL

Active since September 28, 2006
509 HAMACHER ST, SUITE 300, WATERLOO, IL 62298(618) 939-9790 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Radiology
  • Diagnostic Radiology

About SOUTHERN ILLINOIS IMAGING ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Southern Illinois Imaging Associates, Llc, a provider established in Waterloo, Illinois operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1114019312 assigned on September 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael D. O'brien (Authorized Official)

NPI
1114019312 Verify this NPI
Provider Name
SOUTHERN ILLINOIS IMAGING ASSOCIATES, LLC
Entity Type
Organization
Location Address
509 HAMACHER ST SUITE 300 WATERLOO, IL 62298
Location Phone
(618) 939-9790
Mailing Address
509 HAMACHER ST SUITE 300 WATERLOO, IL 62298
Mailing Phone
(618) 939-9790
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2006
Last Update Date
01-28-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL D. O'BRIEN

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(513) 281-3400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
06732037OTHER (01)ILBC/BS PIN
7829963OTHER (01)AETNA PIN
P00407886MEDICARE PIN (08) 
215178MEDICARE PIN (08)IL 

Reviews for SOUTHERN ILLINOIS IMAGING ASSOCIATES, LLC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
509 HAMACHER ST, SUITE 202
WATERLOO, IL 62298
Family Medicine
509 HAMACHER ST
WATERLOO, IL 62298
Family Medicine
509 HAMACHER ST, SUITE 103
WATERLOO, IL 62298
Family Medicine
509 HAMACHER ST, SUITE 102
WATERLOO, IL 62298
Orthopaedic Surgery
509 HAMACHER ST, STE 202
WATERLOO, IL 62298
Physical Therapist
509 HAMACHER ST, SUITE 101
WATERLOO, IL 62298
Clinic/Center (Sleep Disorder Diagnostic)
509 HAMACHER ST, SUITE 205
WATERLOO, IL 62298
Nurse Practitioner (Pediatrics)
509 HAMACHER ST, SUITE 103
WATERLOO, IL 62298
Pediatrics
509 HAMACHER ST, SUITE 103
WATERLOO, IL 62298
Obstetrics & Gynecology
509 HAMACHER ST, STE 203
WATERLOO, IL 62298
Family Medicine
509 HAMACHER ST, SUITE 102
WATERLOO, IL 62298
Specialist/Technologist (Athletic Trainer)
509 HAMACHER ST
WATERLOO, IL 62298
Podiatrist (Foot & Ankle Surgery)
509 HAMACHER ST, SUITE 202
WATERLOO, IL 62298
Physician Assistant
509 HAMACHER ST, SUITE 202
WATERLOO, IL 62298
Physical Therapist (Orthopedic)
509 HAMACHER ST
WATERLOO, IL 62298
Physical Therapist
509 HAMACHER ST, SUITE 101
WATERLOO, IL 62298
Physical Therapist
509 HAMACHER ST, STE 101
WATERLOO, IL 62298
Physical Therapist
509 HAMACHER ST, SUITE101
WATERLOO, IL 62298
Physician Assistant
509 HAMACHER ST, STE. 204
WATERLOO, IL 62298
Audiologist
509 HAMACHER ST, SUITE 205
WATERLOO, IL 62298

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114019312, enumerated as an "organization" on September 28, 2006.

The provider is located at 509 HAMACHER ST SUITE 300 WATERLOO, IL 62298 and the phone number is (618) 939-9790.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.