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IMAGING CENTER OF SOUTHERN ILLINOIS
NPI 1194710905
Clinic/Center - Radiology in Maryville, IL

Active since September 19, 2005
2016 VADALABENE DR, MARYVILLE, IL 62062(618) 288-4929(618) 288-4531 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Imaging Center Of Southern Illinois NPPES

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

IMAGING CENTER OF SOUTHERN ILLINOIS (NPI 1194710905) is a healthcare organization registered as a radiology in Maryville, Illinois and active in the NPI registry since September 2005. The organization lists Steven Michael Mcrae, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1194710905
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameOPEN MRI OF SOUTHERN ILLINOIS LLC
Location Address2016 VADALABENE DRMaryville, IL 62062-6901
Mailing AddressPo Box 868Edwardsville, IL 62025-0868 · (618) 659-1167 · Fax (618) 659-1197
Phone(618) 288-4929
Fax(618) 288-4531
Organization SubpartNo
Authorized OfficialSteven Michael McraeManaging Member · (618) 659-1167
Enumeration DateSeptember 19, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194710905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
2016 VADALABENE DR, Maryville, IL 62062
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Other Names 1

Doing Business AsImaging Center Of Southern Illinois

Other Providers at the Same Location NPPES 11

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

DR. MORGAN MILLER MD
Obstetrics & Gynecology
2016 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-2970
DR. JOCELYN FREEMAN
Dentist
2016 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-9670
ROBIN TURNER-VIVIANO
Counselor (Professional)
2016 VADALABENE DR, SUITE A
MARYVILLE, IL 62062
Madison County (618) 250-2115
TINA M.F. GINGRICH, MD, PC
Family Medicine
2016 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-2970
ANDREA M. FOLEY D.M.D
Dentist (General Practice)
2016 VADALABENE DR, SUITE C
MARYVILLE, IL 62062
Madison County (618) 288-9670
MARYVILLE WOMENS CENTER SSR PC
Obstetrics & Gynecology
2016 VADALABENE DR, SUITE B
MARYVILLE, IL 62062
Madison County (618) 288-2970
FOLEY DENTAL GROUP, LLC
Dentist (General Practice)
2016 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-9670
MRS. ANN LK MILLIKIN LCPC
Counselor (Professional)
2016 VADALABENE DR, SUITE A
MARYVILLE, IL 62062
Madison County (618) 604-1696

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 Open Mri Of Southern Illinois LLC's NPI number?

The NPI number for Open Mri Of Southern Illinois LLC is 1194710905. It was assigned to this organization in the NPPES registry on September 19, 2005. The provider is doing business as Imaging Center Of Southern Illinois.

Where is Open Mri Of Southern Illinois LLC located?

Open Mri Of Southern Illinois LLC is located at 2016 Vadalabene Dr, Maryville, IL 62062. The listed phone number is (618) 288-4929.

What is Open Mri Of Southern Illinois LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Open Mri Of Southern Illinois LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.