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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Active Organization

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY is a Federally Qualified Health Center organization located in SPRINGFIELD, Illinois. NPI 1205553195 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · SPRINGFIELD, IL

Registration Details

NPI Number
1205553195
Provider Type
Organization
NPI Issued
Oct 21, 2022 (3.8548214991082 yrs)
Last Updated
Jan 9, 2025

Practice Information

Address
319 E MADISON ST STE 1F
SPRINGFIELD, IL, 627013118
Browse IL providers · Browse ZIP 62701
Phone
2175458000
Fax
2177578161
Primary Specialty
Federally Qualified Health Center
261QF0400X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.