| NPI | 1598412447 |
|---|---|
| Doing Business As | SIU CENTER FOR FAMILY MEDICINE-JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | SHELBY RENEE BURDICK Team Lead, Medical Staff Services 217-545-6523 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |