| NPI | 1023585312 |
|---|---|
| Doing Business As | SIU CENTER FOR FAMILY MEDICINE - SANGAMON COUNTY HEALTH MOBILE UNIT |
| 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 | 2018-10-25 |
| Last Update Date | 2018-10-25 |