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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 1558848473 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · SPRINGFIELD, IL

Registration Details

NPI Number
1558848473
Provider Type
Organization
NPI Issued
Jul 24, 2018 (8.0986554584376 yrs)
Last Updated
Jan 9, 2025

Practice Information

Address
2833 S GRAND AVE E STE 100
SPRINGFIELD, IL, 627032175
Browse IL providers · Browse ZIP 62703
Phone
2177892069
Fax
2175353104
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.