NPI | 1104230168 |
---|---|
Doing Business As | SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE |
Entity Type | Organization |
Authorized Contact | MYJAL GARNER Director 618-482-6959 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2014-06-18 |
Last Update Date | 2025-01-08 |