Individual provider · Type 1 NPI

Jerrold C. Willis, MD

Diagnostic Radiology Physician · Mount Vernon, IL

NPI number 1467407072 Active

Practice location

1 Good Samaritan Way, Radiology Dept
Mount Vernon, IL 62864-2402

Call (618) 242-4600 Map

Mailing address

PO Box 2153 Dept 20002
Birmingham, AL 35287-0001

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X36057038 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1467407072

Jerrold C. Willis, MD's National Provider Identifier is 1467407072, issued on May 23, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mount Vernon, IL. The record was last updated on Mar 15, 2021.