| NPI | 1194710905 |
|---|---|
| Doing Business As | IMAGING CENTER OF SOUTHERN ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL MCRAE Managing Member 618-659-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2020-08-22 |