BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI # 

Practice Address:

751 N Rutledge St Ste 1100

Springfield, IL, 62702-4968

Practice Phone:

217-545-8000

Practice Fax:

217-545-4735

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X