BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI # 

Practice Address:

901 W Jefferson St

Springfield, IL, 62702-4833

Practice Phone:

217-545-8229

Practice Fax:

217-545-2275

License Number:

10-0066401

License State:

IL

Taxonomy Grouping:

Agencies

Taxonomy Classification:

Community/Behavioral Health

Taxonomy Code:

251S00000X