Board of Trustees of Southern Illinois University
NPI #1770220105 in Springfield, Illinois
Provider Information
- NPI Number
- 1770220105
- Entity Type
- Organization
- Organization Name
- Board of Trustees of Southern Illinois University
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
- Primary Specialty
- Health Educator
- Enumeration Date
- May 17, 2022
- Last Updated
- May 17, 2022
Practice Location
- Address
- 520 N 4TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-5238
- Phone
- (217) 545-8000
Authorized Official
- Name
- IRIS WESLEY
- Title
- CEO
- Phone
- (217) 757-8137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Educator |
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