BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI # 

Practice Address:

606 W Adams St

Pittsfield, IL, 62363-1308

Practice Phone:

217-285-4407

Practice Fax:

217-285-4639

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X