| NPI | 1003324260 |
|---|---|
| Doing Business As | SIU CENTER FOR FAMILY MEDICINE - TRANSITIONS OF WESTERN ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | IRIS WESLEY CEO 217-545-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |