Illinois State University
NPI #1336216027 in Normal, Illinois
Provider Information
- NPI Number
- 1336216027
- Entity Type
- Organization
- Organization Name
- Illinois State University
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ILLINOIS STATE UNIVERSITY
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Jun 26, 2008
Practice Location
Authorized Official
- Name
- MR. JAMES KELLOGG JR.
- Title
- ASSOCIATE DIRECTOR
- Phone
- (309) 438-8258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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