1. Home
  2. Directory
  3. Illinois
  4. Waterloo
  5. Radiology
  6. NPI Profile

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: August 09, 2026.

About Southern Illinois Imaging Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ILLINOIS IMAGING ASSOCIATES, LLC (NPI 1114019312) is a healthcare organization registered as a diagnostic radiology in Waterloo, Illinois and active in the NPI registry since September 2006. The organization lists Michael D. O'brien, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114019312
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTHERN ILLINOIS IMAGING ASSOCIATES, LLC
Location Address509 HAMACHER ST, SUITE 300Waterloo, IL 62298-1592
Mailing Address509 Hamacher St, Suite 300Waterloo, IL 62298-1592 · (618) 939-9790
Phone(618) 939-9790
Organization SubpartNo
Authorized OfficialMichael D. O'brienAuthorized Official · (513) 281-3400
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJanuary 28, 2008
✔ NPI 1114019312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
509 HAMACHER ST, Waterloo, IL 62298
Open in Google Maps ↗

Other Identifiers 4

Other06732037IL · Bc/bs Pin
Other7829963Aetna Pin
Medicare PINP00407886
Medicare PIN215178IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRI DOCKINS-HALL PT
Physical Therapist
509 HAMACHER ST, STE 101
WATERLOO, IL 62298
Monroe County (618) 939-5555
ELISHA F SCHNIEDERS CPNP
Nurse Practitioner (Pediatrics)
509 HAMACHER ST, SUITE 103
WATERLOO, IL 62298
Monroe County (618) 939-2273
SOUTHERN ILLINOIS CENTER FOR HEALTH
Family Medicine
509 HAMACHER ST
WATERLOO, IL 62298
Monroe County (618) 939-3939
FOOT & ANKLE CENTER, LLC
Podiatrist (Foot & Ankle Surgery)
509 HAMACHER ST, SUITE 202
WATERLOO, IL 62298
Monroe County (618) 939-5979
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Internal Medicine (Interventional Cardiology)
509 HAMACHER ST
WATERLOO, IL 62298
Monroe County (618) 939-4200
PARKCREST ORTHOPEDICS LLC
Orthopaedic Surgery
509 HAMACHER ST, STE 202
WATERLOO, IL 62298
Monroe County (314) 997-1777
ASSOCIATED PHYSICIANS GROUP LTD
Physician Assistant
509 HAMACHER ST, SUITE 202
WATERLOO, IL 62298
Monroe County (618) 939-5979
NICHOLE E FRIEDERICH DPT
Physical Therapist
509 HAMACHER ST, SUITE 101
WATERLOO, IL 62298
Monroe County (618) 939-5555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Illinois Imaging Associates, LLC's NPI number?

The NPI number for Southern Illinois Imaging Associates, LLC is 1114019312. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Southern Illinois Imaging Associates, LLC located?

Southern Illinois Imaging Associates, LLC is located at 509 Hamacher St Suite 300, Waterloo, IL 62298. The listed phone number is (618) 939-9790.

What is Southern Illinois Imaging Associates, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Imaging Associates, LLC was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.