BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI # 

Practice Address:

345 W State St

Jacksonville, IL, 62650-1879

Practice Phone:

217-245-5111

Practice Fax:

217-243-4773

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X

Updated by NPPES on 5/26/2016. You can view the original data set for NPI # 1649628009 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 If the information about this NPI provider/company is outdated you can request updates through the NPPES website.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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