| The Board Of Trustees Of Siu Governing Siue | |
|
Student Success Ctr Rm 0222 Campus Box 1055 Edwardsville IL 62026-1055 | |
| (618) 650-2850 | |
| (618) 650-5839 |
| Full Name | The Board Of Trustees Of Siu Governing Siue |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | Student Success Ctr Rm 0222, Edwardsville, Illinois |
| Authorized Official Name and Position | Riane B Greenwalt (DIRECTOR, HEALTH SERVICE) |
| Authorized Official Contact | 6186502852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Board Of Trustees Of Siu Governing Siue Student Success Ctr Rm 0222 Campus Box 1055 Edwardsville IL 62026-1055 Ph: (618) 650-2850 | The Board Of Trustees Of Siu Governing Siue Student Success Ctr Rm 0222 Campus Box 1055 Edwardsville IL 62026-1055 Ph: (618) 650-2850 |
| NPI Number | 1932441946 |
|---|---|
| Provider Enumeration Date | 03/18/2013 |
| Last Update Date | 04/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932441946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Premier Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Forest Ct, Edwardsville, IL 62025 Phone: 618-510-9123 Fax: 618-822-4095 | |
Fairview Heights Medical Group Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Sunset Hills Professional Ctr, Edwardsville, IL 62025 Phone: 618-692-9828 | |
William G Bonzelet Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 157 Ctr, Edwardsville, IL 62025 Phone: 618-659-2371 Fax: 618-659-2375 | |
Illinois Mobile Wound Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Meadow Rue Dr, Edwardsville, IL 62025 Phone: 618-980-3150 | |
Empowerme Rehabilitation Illinois, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7108 Marine Rd, Edwardsville, IL 62025 Phone: 844-502-7996 | |
American Healthcare Systems Illinois Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1261 University Dr, Edwardsville, IL 62025 Phone: 818-666-0602 | |
Fulfilling Life Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Club Centre Ct Ste B1, Edwardsville, IL 62025 Phone: 618-699-4402 Fax: 618-590-8199 |