SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE is a special hospital in Springfield, IL. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE NPI is 1851731640. The provider is registered as an organization entity type.
The provider's business location address is:
701 N 1ST ST
ROOM D443
SPRINGFIELD, IL
ZIP 62702-757
Phone: (217) 545-0193
The provider's authorized official is Andrew Verney .
The authorized official title is Program Director and has the following contact phone number (217) 545-0193.
The CLIA number assigned to this NPI record is 14D2033524 - other - universtiy laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/26/2013 and was last updated on 6/26/2013.