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institution
Southern Illinois University
Clinic/Center in Carbondale, Illinois
NPI 1023151461

Southern Illinois University is a Clinic/Center based in Carbondale, IL. Southern Illinois University practices in Carbondale, IL. The NPI Number for Southern Illinois University is 1023151461 and holds a License No. (Illinois).

The current practice location address for Southern Illinois University is 374 East Grand Avenue, Carbondale, IL and can be reached out via phone at 618-453-3311 and via fax at 618-453-4449.

Location: 374 East Grand Avenue, Carbondale, IL, 62901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023151461
Provider Name
Southern Illinois University
Credential
Provider Entity Type
Organization
Address
374 East Grand Avenue, Carbondale, IL, 62901
Phone Number
618-453-3311
Fax Number
618-453-4449
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
374 East Grand Avenue
City
Carbondale
State
Illinois
Zip
62901
Phone Number
618-453-3311
Fax Number
618-453-4449
person
Provider Business Mailing Address Details
Address
374 East Grand Avenue
City
Carbondale
State
Illinois
Zip
62901
Phone Number
618-453-3311
Fax Number
618-453-4449
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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