OrganizationActive
Clinical Radiologists, S.c.
NPI 1700219482 · Diagnostic Radiology Physician · Edwardsville, IL
Provider details
- NPI number
- 1700219482
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Dickerson, Ceo(217) 726-3389
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
805 Saint Louis St
Edwardsville, IL 62025-1428
Phone: (217) 726-3389
Street-level locationGet directions
Mailing address
3050 Montvale Dr
Springfield, IL 62704-4290
Registry dates
- Enumerated
- 2013-08-16
- Last updated
- 2013-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.