BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI # 

Practice Address:

102 W Kenwood Ave

Decatur, IL, 62526-4368

Practice Phone:

217-872-3800

Practice Fax:

217-872-0849

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X

Updated by NPPES on 1/9/2025. You can view the original data set for NPI # 1407376338 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY's

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