SIU CENTER FOR FAMILY MEDICINE - SANGAMON COUNTY HEALTH
NPI 1558848473
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 July 24, 2018

2833 S GRAND AVE E STE 100, SPRINGFIELD, IL 62703(217) 789-2069(217) 535-3104 Get Directions Write a Review

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

Record update history: Jan 9, 2025, Jul 24, 2018 (2 updates tracked since 2018).

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About Siu Center For Family Medicine - Sangamon County Health NPPES

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

SIU CENTER FOR FAMILY MEDICINE - SANGAMON COUNTY HEALTH (NPI 1558848473) is a healthcare organization registered as a federally qualified health center (fqhc) in Springfield, Illinois and active in the NPI registry since July 2018. The organization lists Iris Wesley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558848473

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Location Address2833 S GRAND AVE E STE 100Springfield, IL 62703-2175

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-7876 · Fax (217) 545-1884

Phone(217) 789-2069

Fax(217) 535-3104

Organization SubpartYes

Authorized OfficialIris WesleyCeo · (217) 545-7876

Enumeration DateJuly 24, 2018

Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1558848473 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

2833 S GRAND AVE E STE 100, Springfield, IL 62703

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Other Names 1

Doing Business AsSiu Center For Family Medicine - Sangamon County Health

Other Providers at the Same Location NPPES

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

MRS. JILL ANN STOOPS FNP-BC

Nurse Practitioner (Family)

2833 S GRAND AVE E STE 100
SPRINGFIELD, IL 62703

Sangamon County (217) 789-2069

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 1558848473. It was assigned to this organization in the NPPES registry on July 24, 2018. The provider is doing business as Siu Center For Family Medicine - Sangamon County Health.

Where is Board Of Trustees Of Southern Illinois University located?

Board Of Trustees Of Southern Illinois University is located at 2833 S Grand Ave E Ste 100, Springfield, IL 62703. The listed phone number is (217) 789-2069.

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 18 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.