| NPI | 1497002182 |
|---|---|
| Doing Business As | SIU CENTER FOR FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LINDA A TOTH Authorizing Official 217-545-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2015-08-13 |