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Dr. Jerrold C Willis, MD
Diagnostic Radiology Physician in Mount Vernon, Illinois
NPI 1467407072

Jerrold C Willis is a Diagnostic Radiology Physician based in Birmingham, IL and is specialized in Diagnostic Radiology. Jerrold C Willis practices in Mount Vernon, IL and has the professional credentials of MD. The NPI Number for Jerrold C Willis is 1467407072 and holds a License No. 36057038 (Illinois).

The current practice location address for Jerrold C Willis is 1 Good Samaritan Way, Mount Vernon, IL and can be reached out via phone at 618-242-4600.

Location: 1 Good Samaritan Way, Mount Vernon, IL, 35287-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467407072
Provider Name
Jerrold C 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
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300119485 01 IL RAILROAD ST JOES/UTLAH
300117217 01 IL RAILROAD GOOD SAM & ST MARY'S
036057038-3 05 IL
institution
Provider Business Practice Location Address Details
Address
1 Good Samaritan Way
City
Mount Vernon
State
Illinois
Zip
62864-2402
Phone Number
618-242-4600
Fax Number
person
Provider Business Mailing Address Details
Address
1 Good Samaritan Way
City
Mount Vernon
State
Illinois
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
2085R0202X
License No.
36057038 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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