institution
Board Of Trustees Of Southern Illinois University
Federally Qualified Health Center (FQHC) in Lincoln, Illinois
NPI 1972049641

Board Of Trustees Of Southern Illinois University is a Federally Qualified Health Center (FQHC) based in Lincoln, IL and is specialized in Federally Qualified Health Center (FQHC). Board Of Trustees Of Southern Illinois University practices in Lincoln, IL. The NPI Number for Board Of Trustees Of Southern Illinois University is 1972049641 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of Southern Illinois University is 109 3Rd St, Lincoln, IL and can be reached out via phone at 217-545-7876 and via fax at 217-545-4410.

Location: 109 3Rd St, Lincoln, IL, 62656-2604
institution
Provider Profile Details
NPI Number
1972049641
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
109 3Rd St, Lincoln, IL, 62656-2604
Phone Number
217-545-7876
Fax Number
217-545-4410
Provider Enumeration Date
01/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
109 3Rd St
City
State
Zip
62656-2604
Phone Number
217-545-7876
Fax Number
217-545-4410
person
Provider Business Mailing Address Details
Address
109 3Rd St
City
State
Zip
62656-2604
Phone Number
217-545-7876
Fax Number
217-545-4410
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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