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institution
Board Of Trustees Of Southern Illinois University
Clinic/Center in Springfield, Illinois
NPI 1366129843

Board Of Trustees Of Southern Illinois University is a Clinic/Center based in Springfield, IL. Board Of Trustees Of Southern Illinois University practices in Springfield, IL. The NPI Number for Board Of Trustees Of Southern Illinois University is 1366129843 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of Southern Illinois University is 401 N Walnut St, Springfield, IL and can be reached out via phone at 217-545-7815.

Location: 401 N Walnut St, Springfield, IL, 62794-9639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366129843
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
401 N Walnut St, Springfield, IL, 62794-9639
Phone Number
217-545-7815
Fax Number
Provider Enumeration Date
06/28/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
401 N Walnut St
City
Springfield
State
Illinois
Zip
62702-5033
Phone Number
217-545-7815
Fax Number
person
Provider Business Mailing Address Details
Address
401 N Walnut St
City
Springfield
State
Illinois
Zip
62702-5033
Phone Number
217-545-7815
Fax Number
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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