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 1770259764. The provider is registered as an organization entity type.
The provider's business location address is:
1600 E CLEAR LAKE AVE STE 120
SPRINGFIELD, IL
ZIP 62703-172
Phone: (217) 545-8000
The provider's authorized official is Shelby Renee Burdick .
The authorized official title is Team Lead, Medical Staff and has the following contact phone number (217) 545-6523.
The enumeration date for this NPI number is 8/19/2021 and was last updated on 8/19/2021.