| NPI | 1770259764 |
|---|---|
| Other Name | SIU CENTER FOR FAMILY MEDICINE-GIM SALVATION ARMY |
| Entity Type | Organization |
| Authorized Contact | SHELBY RENEE BURDICK Team Lead, Medical Staff 217-545-6523 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |