institution
Board Of Trustees Of Southern Illinois University
Federally Qualified Health Center (FQHC) in Springfield, Illinois
NPI 1497002182

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 Springfield, IL. The NPI Number for Board Of Trustees Of Southern Illinois University is 1497002182 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 217-545-8000 and via fax at 217-747-1351.

Location: 520 N 4Th St, Springfield, IL, 62794-9670
institution
Provider Profile Details
NPI Number
1497002182
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
520 N 4Th St, Springfield, IL, 62794-9670
Phone Number
217-545-8000
Fax Number
217-747-1351
Provider Enumeration Date
08/13/2012
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
217-545-8000
Fax Number
217-747-1351
person
Provider Business Mailing Address Details
Address
520 N 4Th St
City
State
Zip
62702-5238
Phone Number
217-545-8000
Fax Number
217-747-1351
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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