| Eastern Illinois University Health Service | |
|
600 Lincoln Ave Eastern Illinois University Charleston IL 61920-3011 | |
| (217) 581-3015 | |
| (217) 581-3899 |
| Full Name | Eastern Illinois University Health Service |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 600 Lincoln Ave, Charleston, Illinois |
| Authorized Official Name and Position | Sheila D Baker (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2175813015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Illinois University Health Service 600 Lincoln Ave Eastern Illinois University Charleston IL 61920-3011 Ph: (217) 581-3015 | Eastern Illinois University Health Service 600 Lincoln Ave Eastern Illinois University Charleston IL 61920-3011 Ph: (217) 581-3015 |
| NPI Number | 1104030790 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104030790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | E9988478107 (Illinois) | Primary |
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