institution
Board Of Trustees Of Southern Illinois University
Federally Qualified Health Center (FQHC) in Carbondale, Illinois
NPI 1437708674

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 Carbondale, IL. The NPI Number for Board Of Trustees Of Southern Illinois University is 1437708674 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of Southern Illinois University is 300 W Oak Street, Carbondale, IL and can be reached out via phone at 618-536-6621 and via fax at 618-453-1102.

Location: 300 W Oak Street, Carbondale, IL, 62794-9639
institution
Provider Profile Details
NPI Number
1437708674
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
300 W Oak Street, Carbondale, IL, 62794-9639
Phone Number
618-536-6621
Fax Number
618-453-1102
Provider Enumeration Date
09/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 W Oak Street
City
State
Zip
62901
Phone Number
618-536-6621
Fax Number
618-453-1102
person
Provider Business Mailing Address Details
Address
300 W Oak Street
City
State
Zip
62901
Phone Number
618-536-6621
Fax Number
618-453-1102
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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