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Illinois State University
Health Service Clinic/Center in Normal, Illinois
NPI 1336216027

Illinois State University is a Health Service Clinic/Center based in Normal, IL and is specialized in Health Service. Illinois State University practices in Normal, IL. The NPI Number for Illinois State University is 1336216027 and holds a License No. (Illinois).

The current practice location address for Illinois State University is College And University, Normal, IL and can be reached out via phone at 309-438-8258 and via fax at 309-438-3689.

Location: College And University, Normal, IL, 61790-2540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336216027
Provider Name
Illinois State University
Credential
Provider Entity Type
Organization
Address
College And University, Normal, IL, 61790-2540
Phone Number
309-438-8258
Fax Number
309-438-3689
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
College And University
City
Normal
State
Illinois
Zip
61790-2540
Phone Number
309-438-8258
Fax Number
309-438-3689
person
Provider Business Mailing Address Details
Address
College And University
City
Normal
State
Illinois
Zip
61790-2540
Phone Number
309-438-8258
Fax Number
309-438-3689
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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