BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY NPI 1396097960

NPI Information

NPI: 1396097960
Provider Name: BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Doing Business As: SIU CENTER FOR FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
520 N 4TH ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 757-8100
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BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY is a primary care clinic center in Springfield, IL. BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY NPI is 1396097960. The provider is registered as an organization entity type.
The provider Is Doing Business As Siu Center For Family Medicine.

The provider's business location address is:

520 N 4TH ST
SPRINGFIELD, IL
ZIP 62702-238
Phone: (217) 757-8100
Fax: (217) 747-1351

The provider's authorized official is Janet R Albers .
The authorized official title is Ceo and has the following contact phone number (217) 757-8100.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 1/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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