BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI # 

Practice Address:

319 E Madison St Ste 1F

Springfield, IL, 62701-3118

Practice Phone:

217-545-8000

Practice Fax:

217-757-8161

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X