NPI | 1558848473 |
---|---|
Doing Business As | SIU CENTER FOR FAMILY MEDICINE - SANGAMON COUNTY HEALTH |
Entity Type | Organization |
Authorized Contact | IRIS WESLEY CEO 217-545-7876 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |