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SIU QUINCY FAMILY MEDICINE
NPI 1376921924
Clinic/Center - Federally Qualified Health Center (FQHC) in Quincy, IL

Active since May 15, 2015
612 N 11TH ST, QUINCY, IL 62301(217) 224-9484(217) 224-7950 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Siu Quincy Family Medicine NPPES

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

SIU QUINCY FAMILY MEDICINE (NPI 1376921924) is a healthcare organization registered as a federally qualified health center (fqhc) in Quincy, Illinois and active in the NPI registry since May 2015. The organization lists Iris Wesley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376921924
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Location Address612 N 11TH STQuincy, IL 62301-2662
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000
Phone(217) 224-9484
Fax(217) 224-7950
Organization SubpartYes
Authorized OfficialIris WesleyCeo · (217) 757-8000
Enumeration DateMay 15, 2015
Last NPPES UpdateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1376921924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
612 N 11TH ST, Quincy, IL 62301
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Other Names 1

Doing Business AsSiu Quincy Family Medicine

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.

DEANDRA RANGEL
Social Worker
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
DR. PICHAPA SANGSAWAD MD
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JACQUELINE RENEE BROWN PHARMD
Pharmacist
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
DR. EMMANUEL IFEANYICHUKWU OHAA MBCHB, MPH
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JASON CHAK SHAM HUI DO
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JAVIER ANDRES VITERI QUINCHA MD
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JAMES LOVE M.D.
Internal Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 545-8000
LAICA MAE BASINGAN ARCIBAL DO
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484

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 Board Of Trustees Of Southern Illinois University's NPI number?

The NPI number for Board Of Trustees Of Southern Illinois University is 1376921924. It was assigned to this organization in the NPPES registry on May 15, 2015. The provider is doing business as Siu Quincy Family Medicine.

Where is Board Of Trustees Of Southern Illinois University located?

Board Of Trustees Of Southern Illinois University is located at 612 N 11th St, Quincy, IL 62301. The listed phone number is (217) 224-9484.

What is Board Of Trustees Of Southern Illinois University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of Southern Illinois University was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.