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.

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
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

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

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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.