Organization · Type 2 NPI

Board of Trustees of Southern Illinois University

Primary Care Clinic/Center · Springfield, IL

NPI number 1922350099 Active

Practice location

5220 S 6th Street Rd, Suite 1200
Springfield, IL 62703-5735

Call (217) 545-8000 Map

Fax (217) 747-1351

Mailing address

PO Box 19670
Springfield, IL 62794-9670

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

28 other providers at this address

Other primary care clinic/center providers in Springfield

See all in Springfield →

About NPI 1922350099

Board of Trustees of Southern Illinois University's National Provider Identifier is 1922350099, issued on Oct 12, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Springfield, IL. The record was last updated on Mar 14, 2013.