SOUTHERN ILLINOIS IMAGING ASSOCIATES, LLC
NPI 1114019312
Radiology - Diagnostic Radiology in Waterloo, IL
- 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
- Code Navigator
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.
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 |
|---|---|---|---|
| 06732037 | OTHER (01) | IL | BC/BS PIN |
| 7829963 | OTHER (01) | AETNA PIN | |
| P00407886 | MEDICARE PIN (08) | ||
| 215178 | MEDICARE PIN (08) | IL |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WATERLOO, IL 62298
WATERLOO, IL 62298
WATERLOO, IL 62298
WATERLOO, IL 62298
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.
