Organization · Type 2 NPI

Board of Trustees of Southern Illinois University

Rural Health Clinic/Center · Carbondale, IL

NPI number 1396386181 Active

About NPI 1396386181

Board of Trustees of Southern Illinois University's National Provider Identifier is 1396386181, issued on Oct 2, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Carbondale, IL. The record was last updated on Oct 2, 2019.