Board of Trustees of Southern Illinois University
Board of Trustees of Southern Illinois University is a Family Medicine Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
520 N 4th StSpringfield, IL 62702-5238
Phone: (217) 757-8100
Fax: (217) 747-1351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X (IL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
Record details
| NPI number | 1396097960 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Iris Wesley — Ceo · (217) 545-8000 |
| Other names | Siu Center For Family Medicine; Siu Center For Family Medicine |
| NPI enumerated | October 8, 2012 |
| Last updated in NPPES | April 20, 2026 |
| Certification date | April 20, 2026 |
| Mailing address | Po Box 19639, Springfield, IL 62794-9639 |
Other providers in Springfield
-
Priyanka Bhandari, MD
520 N 4th St, Springfield, IL 62702-5238 · (217) 545-8000
-
Adrian Ekomobasi Bifom, MD
520 N 4th St, Springfield, IL 62702-5238 · (217) 545-8000
-
Gerard Georges Bitar, MD
2329 N Dirksen Pkwy, Springfield, IL 62702-1403 · (217) 789-1403
-
Geoffrey A. Bland, MD
2200 Wabash Ave, Springfield, IL 62704-5352 · (217) 528-7541
-
Amanda J Bormann, FNP-C
800 E Carpenter St, Springfield, IL 62702-5324 · (217) 544-6464
-
Careyana M Brenham, MD
520 N 4th St, Springfield, IL 62702-5238 · (217) 757-8100
-
Michael L. Brewer, MD
2200 Wabash Ave, Springfield, IL 62704-5352 · (217) 528-7541
-
Jeffrey A. Brower, MD
775 Engineering Dr, Springfield, IL 62703-5909 · (217) 522-4300