BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI 1558099523
Clinic/Center - Federally Qualified Health Center (FQHC) in Springfield, IL

Q: 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.

Active since August 09, 2022

747 N RUTLEDGE ST STE 2287-B, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1558099523), doing business as Siu Fqhc - General Internal Medicine Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Springfield, Illinois and active in the NPI registry since August 2022. The organization lists Iris Wesley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558099523

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Location Address747 N RUTLEDGE ST STE 2287-BSpringfield, IL 62702-6700

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000

Phone(217) 545-8000

Organization SubpartYes

Authorized OfficialIris WesleyCeo · (217) 757-8137

Enumeration DateAugust 9, 2022

NPPES CertifiedAugust 3, 2022

✔ NPI 1558099523 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

747 N RUTLEDGE ST STE 2287-B, Springfield, IL 62702

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Other Names 1

Doing Business AsSiu Fqhc - General Internal Medicine Clinic

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 1558099523. It was assigned to this organization in the NPPES registry on August 9, 2022. The provider is doing business as SIU FQHC - General Internal Medicine Clinic.

Where is Board Of Trustees Of Southern Illinois University located?

Board Of Trustees Of Southern Illinois University is located at 747 N Rutledge St Ste 2287-B, Springfield, IL 62702. 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 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.