BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY is a federally qualified health center (fqhc) clinic center in Springfield, IL. BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY NPI is 1679188437. The provider is registered as an organization entity type.
The provider Other Name Is Siu Center For Family Medicine - General Internal Medicine Clinic.
The provider's business location address is:
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL
ZIP 62702-968
Phone: (217) 545-8000
The provider's authorized official is Iris Wesley .
The authorized official title is Ceo and has the following contact phone number (217) 545-8000.
The CLIA number assigned to this NPI record is 14D2268776 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/9/2020 and was last updated on 11/17/2022.