Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Board of Trustees of Southern Illinois University

Organization Health Educator · NPI 1730826165

Board of Trustees of Southern Illinois University provides Health Educator services in Quincy, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

612 N 11th St
Quincy, IL 62301-2662
Phone: (217) 224-9484
Fax: (217) 224-7950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X

Record details

NPI number1730826165
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBoard of Trustees of Southern Illinois University
Authorized official Iris Wesley — Ceo · (217) 757-8137
Other names Siu Quincy Family Medicine; Siu Quincy Family Medicine - Adces Program
NPI enumeratedMay 17, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing addressPo Box 19639, Springfield, IL 62794-9639

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