Board of Trustees of Southern Illinois University
Board of Trustees of Southern Illinois University is a Clinic/Center in Springfield, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
401 N Walnut StSpringfield, IL 62702-5033
Phone: (217) 545-7815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1366129843 |
|---|---|
| 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 | Survivor Recovery Center |
| NPI enumerated | June 28, 2023 |
| Last updated in NPPES | June 28, 2023 |
| Certification date | June 28, 2023 |
| Mailing address | Po Box 19639, Springfield, IL 62794-9639 |
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