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SIU CENTER FOR FAMILY MEDICINE - GENERAL INTERNAL MEDICINE CLINIC
NPI 1679188437
Clinic/Center - Federally Qualified Health Center (FQHC) in Springfield, IL

Active since September 09, 2020
751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-4735 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2025, Nov 17, 2022, Mar 18, 2021 and 2 more (5 updates tracked since 2020).

About Siu Center For Family Medicine - General Internal Medicine Clinic NPPES

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

SIU CENTER FOR FAMILY MEDICINE - GENERAL INTERNAL MEDICINE CLINIC (NPI 1679188437) is a healthcare organization registered as a federally qualified health center (fqhc) in Springfield, Illinois and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Springfield and lists Iris Wesley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679188437
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Location Address751 N RUTLEDGE ST STE 1100Springfield, IL 62702-4968
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-7876
Phone(217) 545-8000
Fax(217) 545-4735
Organization SubpartYes
Authorized OfficialIris WesleyCeo · (217) 545-8000
Enumeration DateSeptember 9, 2020
Last NPPES UpdateJanuary 9, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1679188437 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
751 N RUTLEDGE ST STE 1100, Springfield, IL 62702
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Other Names 1

Doing Business AsSiu Center For Family Medicine - General Internal Medicine Clinic

Secondary Practice Location 1

Location 1747 N Rutledge St Ste 2287-BSpringfield, IL 62702-6700 · Phone (217) 545-8000

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.

ANAND PATEL PHARMD
Pharmacist (Ambulatory Care)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
NITIN SAINI MD
Internal Medicine
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ABDUL MONEM SWIED MD
Internal Medicine (Gastroenterology)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ELIZABETH TATUM MD
Internal Medicine
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
STACY RENEE LEE LCSW
Social Worker (Clinical)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. ZAFAR QUADER M.D.
Internal Medicine (Gastroenterology)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DELANEY MARGUERITE WOLF RAWSON MD
Internal Medicine
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
CHARLYN K WARE MS RD LDN
Dietitian, Registered
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 1679188437. It was assigned to this organization in the NPPES registry on September 9, 2020. The provider is doing business as Siu Center For Family Medicine - General Internal Medicine Clinic.

Where is Board Of Trustees Of Southern Illinois University located?

Board Of Trustees Of Southern Illinois University is located at 751 N Rutledge St Ste 1100, 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 January 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.