Board of Trustees of Southern Illinois University
Board of Trustees of Southern Illinois University is a Federally Qualified Health Center (FQHC) in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
5220 S 6th Street Rd Ste 1500Springfield, IL 62703-5735
Phone: (217) 545-8000
Fax: (217) 747-1351
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Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X (IL) |
|---|
Record details
| NPI number | 1518343722 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Iris Wesley — Ceo/Fqhc Director · (217) 545-8000 |
| Other names | Siu Center For Family Medicine - Noll |
| NPI enumerated | August 11, 2015 |
| Last updated in NPPES | August 13, 2015 |
| Mailing address | Po Box 19670, Springfield, IL 62794-9670 |
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319 E Madison St Ste 1F, Springfield, IL 62701-3118 · (217) 545-8000
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520 N 4th St, Springfield, IL 62702-5238 · (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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2833 S Grand Ave E Ste 100, Springfield, IL 62703-2175 · (217) 789-2069
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Board of Trustees of Southern Illinois University
751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 · (217) 545-8000
-
Board of Trustees of Southern Illinois University
1600 E Clear Lake Ave Ste 120, Springfield, IL 62703-1172 · (217) 545-8000