institution
Southern Illinois University Edwardsville
Health Service Clinic/Center in East Saint Louis, Illinois
NPI 1518140326

Southern Illinois University Edwardsville is a Health Service Clinic/Center based in East Saint Louis, IL and is specialized in Health Service. Southern Illinois University Edwardsville practices in East Saint Louis, IL. The NPI Number for Southern Illinois University Edwardsville is 1518140326 and holds a License No. (Illinois).

The current practice location address for Southern Illinois University Edwardsville is 601 James R Thompson Blvd, East Saint Louis, IL and can be reached out via phone at 618-482-6959 and via fax at 618-482-8311.

Location: 601 James R Thompson Blvd, East Saint Louis, IL, 62201-1129
institution
Provider Profile Details
NPI Number
1518140326
Provider Name
Southern Illinois University Edwardsville
Credential
Provider Entity Type
Organization
Address
601 James R Thompson Blvd, East Saint Louis, IL, 62201-1129
Phone Number
618-482-6959
Fax Number
618-482-8311
Provider Enumeration Date
12/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 James R Thompson Blvd
City
State
Zip
62201-1129
Phone Number
618-482-6959
Fax Number
618-482-8311
person
Provider Business Mailing Address Details
Address
601 James R Thompson Blvd
City
State
Zip
62201-1129
Phone Number
618-482-6959
Fax Number
618-482-8311
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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