BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

SPRINGFIELD, IL
NPI1558848473
Doing Business AsSIU CENTER FOR FAMILY MEDICINE - SANGAMON COUNTY HEALTH
Entity TypeOrganization
Authorized ContactIRIS WESLEY
CEO
217-545-7876
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date2018-07-24
Last Update Date2018-07-24
Business Address
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
2833 S GRAND AVE E STE 100
SPRINGFIELD, IL 62703-2175
Phone number: 217-535-3100
Mailing Address
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-7876