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SOUTHERN ILLINOIS IMAGING
NPI 1548986839
Clinic/Center - Radiology in Mount Vernon, IL

Active since October 18, 2022
4119 S WATER TOWER PL STE A, MOUNT VERNON, IL 62864(618) 246-9595 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2023, Dec 2, 2022, Oct 18, 2022 (3 updates tracked since 2022).

About Southern Illinois Imaging NPPES

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

SOUTHERN ILLINOIS IMAGING (NPI 1548986839) is a healthcare organization registered as a radiology in Mount Vernon, Illinois and active in the NPI registry since October 2022. The organization lists Jared Stimpson, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1548986839
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameDEACONESS ILLINOIS CROSSROADS INC
Location Address4119 S WATER TOWER PL STE AMount Vernon, IL 62864-6293
Mailing Address4119 S Water Tower Pl Ste AMount Vernon, IL 62864-6293 · (618) 246-9595 · Fax (618) 246-9592
Phone(618) 246-9595
Organization SubpartNo
Authorized OfficialJared StimpsonTreasurer · (812) 450-8287
Enumeration DateOctober 18, 2022
Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1548986839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
4119 S WATER TOWER PL STE A, Mount Vernon, IL 62864
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Other Names 1

Doing Business AsSouthern Illinois Imaging

Other Providers at the Same Location NPPES 3

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

MS. HEATHER DAWN DAVIS APRN,FNP-C
Nurse Practitioner
4119 S WATER TOWER PL STE A
MOUNT VERNON, IL 62864
Jefferson County (618) 816-6006
DR. MOHAMMED AL-ZOUBAIDI M.D
Surgery (Vascular Surgery)
4119 S WATER TOWER PL STE A
MOUNT VERNON, IL 62864
Jefferson County (618) 816-6006
SCHERRIE LYNN MCLASKEY FNP-C
Nurse Practitioner (Family)
4119 S WATER TOWER PL STE A
MOUNT VERNON, IL 62864
Jefferson County (618) 816-6006

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 Deaconess Illinois Crossroads Inc's NPI number?

The NPI number for Deaconess Illinois Crossroads Inc is 1548986839. It was assigned to this organization in the NPPES registry on October 18, 2022. The provider is doing business as Southern Illinois Imaging.

Where is Deaconess Illinois Crossroads Inc located?

Deaconess Illinois Crossroads Inc is located at 4119 S Water Tower Pl Ste A, Mount Vernon, IL 62864. The listed phone number is (618) 246-9595.

What is Deaconess Illinois Crossroads Inc'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 Deaconess Illinois Crossroads Inc was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.