ILLINOIS STATE UNIVERSITY

NORMAL, IL
NPI1336216027
Entity TypeOrganization
Authorized ContactJAMES KELLOGG
Associate Director
309-438-8258
Organization Subpart ?Yes
Primary Taxonomy261QH0100X Clinic/Center Health Service
Enumeration Date2006-11-29
Last Update Date2008-06-26
Business Address
ILLINOIS STATE UNIVERSITY
COLLEGE AND UNIVERSITY SUITE 2540
NORMAL, IL 61790-2540
Phone number: 309-438-8258
Mailing Address
ILLINOIS STATE UNIVERSITY
COLLEGE AND UNIVERSITY SUITE 2540
NORMAL, IL 61790-2540
Phone number: 309-438-8258
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