institution
Board Of Trustees Of Southern Illinois University
Primary Care Clinic/Center in Springfield, Illinois
NPI 1821511783

Board Of Trustees Of Southern Illinois University is a Primary Care Clinic/Center based in Springfield, IL and is specialized in Primary Care. Board Of Trustees Of Southern Illinois University practices in Springfield, IL. The NPI Number for Board Of Trustees Of Southern Illinois University is 1821511783 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of Southern Illinois University is 710 N 8Th St, Springfield, IL and can be reached out via phone at 217-525-1064 and via fax at 217-525-1503.

Location: 710 N 8Th St, Springfield, IL, 62794-9639
institution
Provider Profile Details
NPI Number
1821511783
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
710 N 8Th St, Springfield, IL, 62794-9639
Phone Number
217-525-1064
Fax Number
217-525-1503
Provider Enumeration Date
07/24/2017
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
710 N 8Th St
City
State
Zip
62702-6324
Phone Number
217-525-1064
Fax Number
217-525-1503
person
Provider Business Mailing Address Details
Address
710 N 8Th St
City
State
Zip
62702-6324
Phone Number
217-525-1064
Fax Number
217-525-1503
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...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
semi-verified symbol
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