Individual
ROBERT J KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N PLEASANT AVE, RADIOLOGY DEPT, CENTRALIA, IL 62801-3056
(618) 436-8000
Mailing address
PO BOX 66971, MID AMERICA RADIOLOGY SC, SAINT LOUIS, MO 63166-6971
(303) 465-0401
(303) 404-2317
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036084846
IL
2085R0202X
Diagnostic Radiology Physician
295590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084846-1
—
IL
01
—
P00357284
MEDICARE RAILROAD
IL
Enumeration date
12/06/2006
Last updated
03/09/2026
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