NPI | 1821511783 |
---|---|
Other Name | SIU CENTER FOR FAMILY MEDICINE - INTEGRATED WELLNESS CENTER |
Other Name | INTEGRATED WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | IRIS WESLEY Chief Executive Officer 217-545-7876 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2018-06-16 |