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Search › Illinois › 2085R0202X

Jerrold Willis, MD

NPI 1467407072 · on the registry since 2006

Practice

Address
1 Good Samaritan Way
Radiology Dept
Mount Vernon, IL 62864
Phone
(618) 242-4600
Organisation at this address
Mid America Radiology Sc
Ernst Radiology Clinic, Inc
Deaconess Illinois Clinic, Inc
Mount Vernon Emergency Group Pc
Midwest Emergency Good Samaritan
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois