NPI 1730826165
Board of Trustees of Southern Illinois University
Practice location
- Address
- 612 N 11th St, Quincy, IL 62301-2662
- Phone
- (217) 224-9484
- Fax
- (217) 224-7950
- Mailing address
- PO Box 19639, Springfield, IL 62794-9639
Authorised official
- Name
- Iris Wesley
- Title
- Ceo
- Phone
- (217) 757-8137
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1730826165
- Entity type
- Organization
- NPI issued
- 17 May 2022
- Record last updated
- 17 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.