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Mid America Radiology Sc

Diagnostic Radiology Physician in Mount Vernon, IL · enumerated 2006 · authorized official Jerrold Willis, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770538282

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Registry record

Entity type Organization (Type 2)
Legal business name Mid America Radiology Sc
Practice address 1 Good Samaritan Way, Radiology Dept, Mount Vernon, IL, 62864
Phone (618) 242-4600
Enumeration date May 23, 2006
Last updated in NPPES Mar 15, 2021

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jerrold Willis
Title President
Phone (618) 242-4600

Other identifiers

Identifier Type State Issuer
CB6407 Other IL RR/ GOOD SAM & ST MARY'S
CB6408 Other IL RR/ ST JOE & UTLAH

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mid America Radiology Sc?
The NPI for Mid America Radiology Sc is 1770538282, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mid America Radiology Sc?
NPPES lists Jerrold Willis (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-15.