Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Illinois University Edwardsville

Organization Health Service Clinic/Center · NPI 1518140326

Southern Illinois University Edwardsville is a Health Service Clinic/Center in East Saint Louis, Illinois. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

601 James R Thompson Blvd Bldg D 2015
East Saint Louis, IL 62201-1129
Phone: (618) 482-6959
Fax: (618) 482-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1518140326
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthern Illinois University Edwardsville
Authorized official Nancy Ufert — Director Of Purchasing · (618) 650-3255
NPI enumeratedDecember 14, 2007
Last updated in NPPESJuly 29, 2008
Mailing address601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129