SOUTHERN ILLINOIS UNIVERSITY is a clinic center in E Saint Louis, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTHERN ILLINOIS UNIVERSITY NPI is 1306273776. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Nursing Services.
The provider's business location address is:
601 JAMES R THOMPSON BLVD
BUILDING D, SUITE 2015
E SAINT LOUIS, IL
ZIP 62201-129
Phone: (618) 482-6959
Fax: (618) 482-8311
The provider's authorized official is Kim Wenona White .
The authorized official title is Executive Director and has the following contact phone number (618) 482-6959.
The CLIA number assigned to this NPI record is 14D1075029 - independent with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/1/2013 and was last updated on 10/1/2013.