Organization · Type 2 NPI

Eastern Illinois University Health Service

Student Health Clinic/Center · Charleston, IL

NPI number 1104030790 Active

About NPI 1104030790

Eastern Illinois University Health Service's National Provider Identifier is 1104030790, issued on May 10, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Charleston, IL. The record was last updated on Aug 22, 2020.