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EASTERN ILLINOIS UNIVERSITY HEALTH SERVICE
NPI 1104030790
Clinic/Center - Student Health in Charleston, IL

Active since May 10, 2007
600 LINCOLN AVE, EASTERN ILLINOIS UNIVERSITY, CHARLESTON, IL 61920(217) 581-3015(217) 581-3899 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern Illinois University Health Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN ILLINOIS UNIVERSITY HEALTH SERVICE (NPI 1104030790) is a healthcare organization registered as a student health in Charleston, Illinois and active in the NPI registry since May 2007. The organization lists Sheila D Baker, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104030790
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameEASTERN ILLINOIS UNIVERSITY HEALTH SERVICE
Location Address600 LINCOLN AVE, EASTERN ILLINOIS UNIVERSITYCharleston, IL 61920-3011
Mailing Address600 Lincoln Ave, Eastern Illinois UniversityCharleston, IL 61920-3011 · (217) 581-3015 · Fax (217) 581-3899
Phone(217) 581-3015
Fax(217) 581-3899
Organization SubpartNo
Authorized OfficialSheila D BakerMedical Director · (217) 581-3015
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104030790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
License✔ Licensed in IL · E9988478107
600 LINCOLN AVE, Charleston, IL 61920
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEHAN AYAP
Specialist/Technologist (Athletic Trainer)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-3811
HANNAH CROWLEY
Speech-Language Pathologist
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (271) 581-2712
MISS MICHAELA ELIZABETH DESANTIS ATC
Specialist/Technologist (Athletic Trainer)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-3811
MR. BRYAN K CALLAWAY FNP
Nurse Practitioner (Family)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-3015
ALLISON BERTRAND
Student in an Organized Health Care Education/Training Program
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-2712
KYRRAH RAE RANDOLPH ATC
Specialist/Technologist (Athletic Trainer)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-5000
MRS. BECKY K OGLE FNP-BC
Nurse Practitioner (Family)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-7015
NOAH MIKAEL DAVIS MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (618) 554-8410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Illinois University Health Service's NPI number?

The NPI number for Eastern Illinois University Health Service is 1104030790. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Eastern Illinois University Health Service located?

Eastern Illinois University Health Service is located at 600 Lincoln Ave Eastern Illinois University, Charleston, IL 61920. The listed phone number is (217) 581-3015.

What is Eastern Illinois University Health Service's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Eastern Illinois University Health Service was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.