Board of Trustees of Southern Illinois University
Board of Trustees of Southern Illinois University is a Primary Care Clinic/Center in Springfield, Illinois. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
5220 S 6th Street Rd Ste 1200Springfield, IL 62703-5735
Phone: (217) 545-8000
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 |
|---|
Record details
| NPI number | 1922350099 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Janet Albers — Director · (217) 757-8100 |
| Other names | Noll Medical Pavilion Clinic |
| NPI enumerated | October 12, 2012 |
| Last updated in NPPES | March 14, 2013 |
| Mailing address | Po Box 19670, Springfield, IL 62794-9670 |
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