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 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
319 E Madison St Ste 1FSpringfield, IL 62701-3118
Phone: (217) 545-8000
Fax: (217) 757-8161
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Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1205553195 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Board of Trustees of Southern Illinois University |
| Authorized official | Iris Wesley — Ceo · (217) 757-8137 |
| Other names | Siu Center For Healthy Aging And Wellness |
| NPI enumerated | October 21, 2022 |
| Last updated in NPPES | January 9, 2025 |
| Certification date | January 9, 2025 |
| Mailing address | Po Box 19639, Springfield, IL 62794-9639 |
Other providers in Springfield
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Board of Trustees of Southern Illinois University
2833 S Grand Ave E, Springfield, IL 62703-2175 · (221) 753-5310
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Board of Trustees of Southern Illinois University
3220 Atlanta St Ste 100, Springfield, IL 62707-8801 · (217) 545-4968
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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
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Board of Trustees of Southern Illinois University
747 N Rutledge St Ste 2287-B, Springfield, IL 62702-6700 · (217) 545-8000
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Board of Trustees of Southern Illinois University
2833 S Grand Ave E Ste 100, Springfield, IL 62703-2175 · (217) 789-2069