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BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI 1396097960
Clinic/Center - Primary Care in Springfield, IL

Active since October 08, 2012
520 N 4TH ST, SPRINGFIELD, IL 62702(217) 757-8100(217) 747-1351 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2026, Jan 24, 2023, Jan 19, 2021 (3 updates tracked since 2021).

About Board Of Trustees Of Southern Illinois University NPPES

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

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY (NPI 1396097960), doing business as Siu Center For Family Medicine, is a healthcare organization registered as a primary care in Springfield, Illinois and active in the NPI registry since October 2012. The organization lists Iris Wesley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396097960
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Location Address520 N 4TH STSpringfield, IL 62702-5238
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (217) 545-4410
Phone(217) 757-8100
Fax(217) 747-1351
Organization SubpartNo
Authorized OfficialIris WesleyCeo · (217) 545-8000
Enumeration DateOctober 8, 2012
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1396097960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
520 N 4TH ST, Springfield, IL 62702
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Other Names 1

Doing Business AsSiu Center For Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MRS. AMANDA B HENSON LCSW
Social Worker (Clinical)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. BASAR CENIK M.D.
Psychiatry & Neurology (Psychiatry)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. HARI IYENGAR MD
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8100
DR. JOSEPH DOUGLAS WRIGHT
Student in an Organized Health Care Education/Training Program
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8197
HELEN L MOOSE CNM-MS
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JANET R ALBERS M.D.
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ANNETTE REESE
Community Health Worker
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ZACHARY SIMS P.A.-C
Physician Assistant
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8100

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 1396097960. It was assigned to this organization in the NPPES registry on October 8, 2012. The provider is doing business as Siu Center For Family Medicine.

Where is Board Of Trustees Of Southern Illinois University located?

Board Of Trustees Of Southern Illinois University is located at 520 N 4th St, Springfield, IL 62702. The listed phone number is (217) 757-8100.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of Southern Illinois University was last updated on April 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.