Organization
OPEN MRI OF SOUTHERN ILLINOIS LLC
Active
Other names
Imaging Center of Southern Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MICHAEL MCRAE (MANAGING MEMBER)
(618) 659-1167
Entity
Organization
Contact information
Practice address
2016 VADALABENE DR, MARYVILLE, IL 62062-6901
(618) 288-4929
(618) 288-4531
Mailing address
PO BOX 868, EDWARDSVILLE, IL 62025-0868
(618) 659-1167
(618) 659-1197
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2005
Last updated
08/22/2020
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