Board of Trustees of Southern Illinois University
NPI #1922350099 in Springfield, Illinois
Provider Information
- NPI Number
- 1922350099
- Entity Type
- Organization
- Organization Name
- Board of Trustees of Southern Illinois University
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 12, 2012
- Last Updated
- Mar 14, 2013
Practice Location
- Address
- 5220 S 6TH STREET RD
- Address 2
- SUITE 1200
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-5735
- Phone
- (217) 545-8000
Authorized Official
- Name
- DR. JANET R ALBERS, MD
- Title
- DIRECTOR
- Phone
- (217) 757-8100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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