BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

SPRINGFIELD, IL
NPI1821511783
Other NameSIU CENTER FOR FAMILY MEDICINE - INTEGRATED WELLNESS CENTER
Other NameINTEGRATED WELLNESS CENTER
Entity TypeOrganization
Authorized ContactIRIS WESLEY
Chief Executive Officer
217-545-7876
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date2017-07-24
Last Update Date2018-06-16
Business Address
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
710 N 8TH ST
SPRINGFIELD, IL 62702-6324
Phone number: 217-588-7717
Mailing Address
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-7876