BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI # 

Practice Address:

4409 Maine St Ste 100

Quincy, IL, 62305-5849

Practice Phone:

217-919-9139

Practice Fax:

217-223-0461

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X