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SIU CENTER FOR FAMILY MEDICINE - NOLL
NPI 1518343722
Clinic/Center - Federally Qualified Health Center (FQHC) in Springfield, IL

Active since August 11, 2015
5220 S 6TH STREET RD, SUITE 1500, SPRINGFIELD, IL 62703(217) 545-8000(217) 747-1351 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Siu Center For Family Medicine - Noll NPPES

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

SIU CENTER FOR FAMILY MEDICINE - NOLL (NPI 1518343722) is a healthcare organization registered as a federally qualified health center (fqhc) in Springfield, Illinois and active in the NPI registry since August 2015. The organization lists Iris Wesley, Ceo/fqhc Director, as its authorized official.

NPPES Registry Identity

NPI1518343722
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Location Address5220 S 6TH STREET RD, SUITE 1500Springfield, IL 62703-5735
Mailing AddressPo Box 19670Springfield, IL 62794-9670 · (217) 545-8000 · Fax (217) 747-1351
Phone(217) 545-8000
Fax(217) 747-1351
Organization SubpartNo
Authorized OfficialIris WesleyCeo/fqhc Director · (217) 545-8000
Enumeration DateAugust 11, 2015
Last NPPES UpdateAugust 13, 2015
✔ NPI 1518343722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5220 S 6TH STREET RD, Springfield, IL 62703
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Other Names 1

Doing Business AsSiu Center For Family Medicine - Noll

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.

DR. BRITTANY N. OTTINO PSY.D.
Psychologist (Clinical)
5220 S 6TH STREET RD, SUITE 1200
SPRINGFIELD, IL 62703
Sangamon County (217) 545-8000
NASIR IQBAL AHMAD M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5220 S 6TH STREET RD, SUITE 1200
SPRINGFIELD, IL 62703
Sangamon County (217) 545-7644
MRS. JEANETTE AYOTTE HOELZER LCPC
Counselor (Professional)
5220 S 6TH STREET RD, SUITE 2400
SPRINGFIELD, IL 62703
Sangamon County (217) 757-7700
MS. KENDRA A PATTON MSW
Social Worker (Clinical)
5220 S 6TH STREET RD, SUITE 2400
SPRINGFIELD, IL 62703
Sangamon County (217) 757-7700
HETAL A SHAH LPT
Physical Therapist
5220 S 6TH STREET RD, SUITE 1500
SPRINGFIELD, IL 62703
Sangamon County (217) 529-8469
STEPHANIE NICOLE FAHEY M.S. CCC-SLP
Speech-Language Pathologist
5220 S 6TH STREET RD, SUITE 1700 (NOLL MEDICAL PAVILLION, THE AUTISM CLINIC)
SPRINGFIELD, IL 62703
Sangamon County (217) 525-8332
MICAELA F BREWER LCSW
Social Worker (Clinical)
5220 S 6TH STREET RD, SUITE 2400
SPRINGFIELD, IL 62703
Sangamon County (217) 757-7700
MIDWEST EYE ASSOCIATES, LLC
Ophthalmology
5220 S 6TH STREET RD, SUITE 2300
SPRINGFIELD, IL 62703
Sangamon County (217) 529-3469

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 1518343722. It was assigned to this organization in the NPPES registry on August 11, 2015. The provider is doing business as Siu Center For Family Medicine - Noll.

Where is Board Of Trustees Of Southern Illinois University located?

Board Of Trustees Of Southern Illinois University is located at 5220 S 6th Street Rd Suite 1500, Springfield, IL 62703. The listed phone number is (217) 545-8000.

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 August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.