EASTERN ILLINOIS UNIVERSITY HEALTH SERVICE NPI 1104030790

NPI Information

NPI: 1104030790
Provider Name: EASTERN ILLINOIS UNIVERSITY HEALTH SERVICE
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
600 LINCOLN AVE
EASTERN ILLINOIS UNIVERSITY
CHARLESTON, IL
ZIP 61920
Phone: (217) 581-3015
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EASTERN ILLINOIS UNIVERSITY HEALTH SERVICE is a student health clinic center in Charleston, IL. EASTERN ILLINOIS UNIVERSITY HEALTH SERVICE NPI is 1104030790. The provider is registered as an organization entity type.

The provider's business location address is:

600 LINCOLN AVE
EASTERN ILLINOIS UNIVERSITY
CHARLESTON, IL
ZIP 61920-011
Phone: (217) 581-3015
Fax: (217) 581-3899

The provider's authorized official is Sheila D Baker .
The authorized official title is Medical Director and has the following contact phone number (217) 581-3015.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/22/2020.

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	261QS1000X	Clinic/Center	Student Health	E9988478107	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: 5/5/2024

NPI Synchronization or Removal

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