| Siu Center For Family Medicine - Integrated Wellness Center | |
|
710 N 8th St Springfield IL 62702-6324 | |
| (217) 588-7717 | |
| Not Available |
| Full Name | Siu Center For Family Medicine - Integrated Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 710 N 8th St, Springfield, Illinois |
| Authorized Official Name and Position | Iris Wesley (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2175457876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siu Center For Family Medicine - Integrated Wellness Center Po Box 19639 Springfield IL 62794-9639 Ph: (217) 545-7876 | Siu Center For Family Medicine - Integrated Wellness Center 710 N 8th St Springfield IL 62702-6324 Ph: (217) 588-7717 |
| NPI Number | 1821511783 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 4486667888 |
|---|---|
| Medicare Enrollment ID | O20180108000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821511783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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