Board of Trustees of Southern Illinois University
Board of Trustees of Southern Illinois University is a Federally Qualified Health Center (FQHC) in Quincy, Illinois. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
612 N 11th StQuincy, IL 62301-2662
Phone: (217) 224-9484
Fax: (217) 224-7950
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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 |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1376921924 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Board of Trustees of Southern Illinois University |
| Authorized official | Iris Wesley — Ceo · (217) 757-8000 |
| Other names | Siu Quincy Family Medicine |
| NPI enumerated | May 15, 2015 |
| Last updated in NPPES | January 9, 2025 |
| Certification date | January 9, 2025 |
| Mailing address | Po Box 19639, Springfield, IL 62794-9639 |
Other providers in Quincy
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Board of Trustees of Southern Illinois University
4409 Maine St Ste 100, Quincy, IL 62305-5849 · (217) 919-9139
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Board of Trustees of Southern Illinois University
330 Vermont St Ste 100, Quincy, IL 62301-2700 · (217) 222-8440
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Board of Trustees of Southern Illinois University
205 S 24th St Ste 100, Quincy, IL 62301-4446 · (217) 224-9484
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Board of Trustees of Southern Illinois University
330 Vermont St Ste 211, Quincy, IL 62301-2700 · (217) 222-8440