institution
Board Of Trustees Of Southern Illinois University
Federally Qualified Health Center (FQHC) in Quincy, Illinois
NPI 1003324260

Board Of Trustees Of Southern Illinois University is a Federally Qualified Health Center (FQHC) based in Springfield, IL and is specialized in Federally Qualified Health Center (FQHC). Board Of Trustees Of Southern Illinois University practices in Quincy, IL. The NPI Number for Board Of Trustees Of Southern Illinois University is 1003324260 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of Southern Illinois University is 4409 Maine St Ste 100, Quincy, IL and can be reached out via phone at 217-919-9139 and via fax at 217-223-0461.

Location: 4409 Maine St Ste 100, Quincy, IL, 62794-9639
institution
Provider Profile Details
NPI Number
1003324260
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
4409 Maine St Ste 100, Quincy, IL, 62794-9639
Phone Number
217-919-9139
Fax Number
217-223-0461
Provider Enumeration Date
01/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4409 Maine St Ste 100
City
State
Zip
62305-5849
Phone Number
217-919-9139
Fax Number
217-223-0461
person
Provider Business Mailing Address Details
Address
4409 Maine St Ste 100
City
State
Zip
62305-5849
Phone Number
217-919-9139
Fax Number
217-223-0461
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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