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John Ryan Willis, MD
Diagnostic Radiology Physician in Mount Vernon, Illinois
NPI 1326095670

John Ryan Willis is a Diagnostic Radiology Physician based in Birmingham, IL and is specialized in Diagnostic Radiology. John Ryan Willis practices in Mount Vernon, IL and has the professional credentials of MD. The NPI Number for John Ryan Willis is 1326095670 and holds a License No. 36108723 (Illinois).

The current practice location address for John Ryan Willis is 1 Good Samaritan Way, Mount Vernon, IL and can be reached out via phone at 618-242-4600. You can also correspond with John Ryan Willis through the mailing address at PO BOX 2153 DEPT 20002, BIRMINGHAM, AL - 35287-0001 (mailing address contact number: 303-465-0401).

Location: 1 Good Samaritan Way, Mount Vernon, IL, 35287-0001
person
Provider Profile Details
NPI Number
1326095670
Provider Name
John Ryan Willis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Good Samaritan Way, Mount Vernon, IL, 35287-0001
Phone Number
618-242-4600
Fax Number
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00040956 01 IL RAILROAD GOOD SAM & ST MARY'S
P00077831 01 IL RAILROAD ST JOE & UTLAH
036108723-3 05 IL
institution
Provider Business Practice Location Address Details
Address
1 Good Samaritan Way
City
State
Zip
62864-2402
Phone Number
618-242-4600
Fax Number
person
Provider Business Mailing Address Details
Address
1 Good Samaritan Way
City
State
Zip
62864-2402
Phone Number
618-242-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
36108723 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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