Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Board of Trustees of Southern Illinois University

Organization Federally Qualified Health Center (FQHC) · NPI 1558099523

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
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Practice location Address checks out

747 N Rutledge St Ste 2287-B
Springfield, IL 62702-6700
Phone: (217) 545-8000
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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

Record details

NPI number1558099523
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBoard of Trustees of Southern Illinois University
Authorized official Iris Wesley — Ceo · (217) 757-8137
Other names Siu Fqhc - General Internal Medicine Clinic
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 3, 2022
Mailing addressPo Box 19639, Springfield, IL 62794-9639

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