Board of Trustees of Southern Illinois University
Board of Trustees of Southern Illinois University is a Federally Qualified Health Center (FQHC) in Springfield, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
2833 S Grand Ave ESpringfield, IL 62703-2175
Phone: (221) 753-5310
Fax: (217) 789-2069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1023585312 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Board of Trustees of Southern Illinois University |
| Authorized official | Iris Wesley — Ceo · (217) 545-8000 |
| Other names | Siu Center For Family Medicine - Sangamon County Health Mobile Unit |
| NPI enumerated | October 25, 2018 |
| Last updated in NPPES | October 25, 2018 |
| Mailing address | Po Box 19670, Springfield, IL 62794-9670 |
Other providers in Springfield
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Board of Trustees of Southern Illinois University
319 E Madison St Ste 1F, Springfield, IL 62701-3118 · (217) 545-8000
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Board of Trustees of Southern Illinois University
520 N 4th St, Springfield, IL 62702-5238 · (217) 545-8000
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Board of Trustees of Southern Illinois University
5220 S 6th Street Rd Ste 1500, Springfield, IL 62703-5735 · (217) 545-8000