BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI # 

Practice Address:

2833 S Grand Ave E Ste 100

Springfield, IL, 62703-2175

Practice Phone:

217-789-2069

Practice Fax:

217-535-3104

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 # 1558848473 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 If the information about this NPI provider/company is outdated you can request updates through the NPPES website.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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