Organization · Type 2 NPI

Board of Trustees of Southern Illinois University

Federally Qualified Health Center (FQHC) · Taylorville, IL

NPI number 1851934871 Active

About NPI 1851934871

Board of Trustees of Southern Illinois University's National Provider Identifier is 1851934871, issued on Oct 22, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Taylorville, IL. The record was last updated on Jan 9, 2025.