| NPI | 1407376338 |
|---|---|
| Other Name | SIU CENTER FOR FAMILY MEDICINE - DECATUR |
| Entity Type | Organization |
| Authorized Contact | IRIS WESLEY Chief Executive Officer 217-545-7876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |