institution
Board Of Trustees Of Southern Illinois University
Federally Qualified Health Center (FQHC) in Springfield, Illinois
NPI 1770259764

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 1770259764 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of Southern Illinois University is 1600 E Clear Lake Ave Ste 120, Springfield, IL and can be reached out via phone at 217-545-8000. You can also correspond with Board Of Trustees Of Southern Illinois University through the mailing address at 201 E MADISON ST STE 328, SPRINGFIELD, IL - 62702-5131 (mailing address contact number: 217-545-6523).

Location: 1600 E Clear Lake Ave Ste 120, Springfield, IL, 62702-5131
institution
Provider Profile Details
NPI Number
1770259764
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
1600 E Clear Lake Ave Ste 120, Springfield, IL, 62702-5131
Phone Number
217-545-8000
Fax Number
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 E Clear Lake Ave Ste 120
City
State
Zip
62703-1172
Phone Number
217-545-8000
Fax Number
person
Provider Business Mailing Address Details
Address
1600 E Clear Lake Ave Ste 120
City
State
Zip
62703-1172
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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