Board of Trustees of Southern Illinois University

NPI #1558539882 in Springfield, Illinois

Provider Information

NPI Number
1558539882
Entity Type
Organization
Organization Name
Board of Trustees of Southern Illinois University
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 20, 2008
Last Updated
Jun 19, 2008

Practice Location

Address
901 W JEFFERSON ST
ZIP Code
62702-4833
Phone
(217) 545-8229

Authorized Official

Name
DAVID J TKACH
Title
CEO
Phone
(217) 545-7578

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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