BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

QUINCY, IL
NPI1376921924
Doing Business AsSIU QUINCY FAMILY MEDICINE
Entity TypeOrganization
Authorized ContactIRIS WESLEY
CEO
217-757-8000
Organization Subpart ?Yes
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
Enumeration Date2015-05-15
Last Update Date2025-01-09
Business Address
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
612 N 11TH ST
QUINCY, IL 62301-2662
Phone number: 217-224-9484
Mailing Address
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-8000