institution
Board Of Trustees Of Southern Illinois University
Federally Qualified Health Center (FQHC) in Quincy, Illinois
NPI 1215578109

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 1215578109 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of Southern Illinois University is 205 S 24Th St Ste 100, Quincy, IL and can be reached out via phone at 217-224-9484 and via fax at 217-224-7950. You can also correspond with Board Of Trustees Of Southern Illinois University through the mailing address at PO BOX 19639, SPRINGFIELD, IL - 62794-9639 (mailing address contact number: 217-545-7876).

Location: 205 S 24Th St Ste 100, Quincy, IL, 62794-9639
institution
Provider Profile Details
NPI Number
1215578109
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
205 S 24Th St Ste 100, Quincy, IL, 62794-9639
Phone Number
217-224-9484
Fax Number
217-224-7950
Provider Enumeration Date
10/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
205 S 24Th St Ste 100
City
State
Zip
62301-4446
Phone Number
217-224-9484
Fax Number
217-224-7950
person
Provider Business Mailing Address Details
Address
205 S 24Th St Ste 100
City
State
Zip
62301-4446
Phone Number
217-224-9484
Fax Number
217-224-7950
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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