institution
Board Of Trustees Of Southern Illinois University
Primary Care Clinic/Center in Springfield, Illinois
NPI 1396097960

Board Of Trustees Of Southern Illinois University is a Primary Care Clinic/Center based in Springfield, IL and is specialized in Primary Care. Board Of Trustees Of Southern Illinois University practices in Springfield, IL. The NPI Number for Board Of Trustees Of Southern Illinois University is 1396097960 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of Southern Illinois University is 520 N 4Th St, Springfield, IL and can be reached out via phone at 217-757-8100 and via fax at 217-747-1351.

Location: 520 N 4Th St, Springfield, IL, 62794-9639
institution
Provider Profile Details
NPI Number
1396097960
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
520 N 4Th St, Springfield, IL, 62794-9639
Phone Number
217-757-8100
Fax Number
217-747-1351
Provider Enumeration Date
10/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
520 N 4Th St
City
State
Zip
62702-5238
Phone Number
217-757-8100
Fax Number
217-747-1351
person
Provider Business Mailing Address Details
Address
520 N 4Th St
City
State
Zip
62702-5238
Phone Number
217-757-8100
Fax Number
217-747-1351
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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