institution
Board Of Trustees Of Southern Illinois University
Federally Qualified Health Center (FQHC) in Jacksonville, Illinois
NPI 1598412447

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 Jacksonville, IL. The NPI Number for Board Of Trustees Of Southern Illinois University is 1598412447 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of Southern Illinois University is 425 E State St., Ste 100, Jacksonville, IL and can be reached out via phone at 217-545-8000.

Location: 425 E State St., Ste 100, Jacksonville, IL, 62702-5131
institution
Provider Profile Details
NPI Number
1598412447
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
425 E State St., Ste 100, Jacksonville, IL, 62702-5131
Phone Number
217-545-8000
Fax Number
Provider Enumeration Date
03/09/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
425 E State St., Ste 100
City
State
Zip
62650-2125
Phone Number
217-545-8000
Fax Number
person
Provider Business Mailing Address Details
Address
425 E State St., Ste 100
City
State
Zip
62650-2125
Phone Number
217-545-8000
Fax Number
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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