Board of Trustees of Southern Illinois University
Board of Trustees of Southern Illinois University provides Family Medicine Physician services in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
520 N 4th StSpringfield, IL 62702-5238
Phone: (217) 757-8100
Fax: (217) 747-1351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X (IL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
Record details
| NPI number | 1396097960 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Iris Wesley — Ceo · (217) 545-8000 |
| Other names | Siu Center For Family Medicine; Siu Center For Family Medicine |
| NPI enumerated | October 8, 2012 |
| Last updated in NPPES | April 20, 2026 |
| Certification date | April 20, 2026 |
| Mailing address | Po Box 19639, Springfield, IL 62794-9639 |
Other providers in Springfield
-
Dr. Ethan Patrick Berg, DO
520 N 4th St, Springfield, IL 62702-5238 · (217) 545-8000
-
Priyanka Bhandari, MD
520 N 4th St, Springfield, IL 62702-5238 · (217) 545-8000
-
Gerard Georges Bitar, MD
2329 N Dirksen Pkwy, Springfield, IL 62702-1403 · (217) 789-1403
-
Geoffrey A. Bland, MD
2200 Wabash Ave, Springfield, IL 62704-5352 · (217) 528-7541
-
Amanda J Bormann, FNP-C
800 E Carpenter St, Springfield, IL 62702-5324 · (217) 544-6464
-
Careyana M Brenham, MD
520 N 4th St, Springfield, IL 62702-5238 · (217) 757-8100
-
Michael L. Brewer, MD
2200 Wabash Ave, Springfield, IL 62704-5352 · (217) 528-7541
-
Jeffrey A. Brower, MD
775 Engineering Dr, Springfield, IL 62703-5909 · (217) 522-4300