ILLINOIS VALLEY RADIOLOGY NPI 1124027826

NPI Information

  • NPI: 1124027826
  • Provider Name: ILLINOIS VALLEY RADIOLOGY
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 14D2011211
  • Address: 111 SPRING ST
    STREATOR, IL
    ZIP 61364
  • Phone: (815) 673-2311

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NPI Details

ILLINOIS VALLEY RADIOLOGY is a diagnostic radiology radiology in Streator, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ILLINOIS VALLEY RADIOLOGY NPI is 1124027826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 SPRING ST
STREATOR, IL
ZIP 61364-332
Phone: (815) 673-2311

The provider's authorized official is Mark Hilborn .
The authorized official title is President and has the following contact phone number (815) 673-2311.

The CLIA number assigned to this NPI record is 14D2011211 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/15/2005 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1212118MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2554460MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
305023282OTHERILLINOISBC BS
4=========MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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