BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI # 

Practice Address:

205 S 24Th St Ste 100

Quincy, IL, 62301-4446

Practice Phone:

217-224-9484

Practice Fax:

217-224-7950

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X