OrganizationActive
Mid America Radiology Sc
NPI 1770538282 · Diagnostic Radiology Physician · Mount Vernon, IL
Provider details
- NPI number
- 1770538282
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerrold Willis, President(618) 242-4600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1 Good Samaritan Way
Radiology Dept
Mount Vernon, IL 62864-2402
Phone: (618) 242-4600
Street-level locationGet directions
Mailing address
Po Box 2153 Dept 20002
Birmingham, AL 35287-0001
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2021-03-15
- Certified
- 2021-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.