Board of Trustees of Southern Illinois University
NPI #1396097960 in Springfield, Illinois
Provider Information
- NPI Number
- 1396097960
- Entity Type
- Organization
- Organization Name
- Board of Trustees of Southern Illinois University
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 8, 2012
- Last Updated
- Jan 24, 2023
Practice Location
- Address
- 520 N 4TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-5238
- Phone
- (217) 757-8100
Authorized Official
- Name
- JANET R ALBERS, MD
- Title
- CEO
- Phone
- (217) 757-8100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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