| Southern Illinois University | |
|
374 East Grand Avenue Mail Code 674d Carbondale IL 62901 | |
| (618) 453-3311 | |
| (618) 453-4449 |
| Full Name | Southern Illinois University |
|---|---|
| Speciality | Clinic/center |
| Location | 374 East Grand Avenue, Carbondale, Illinois |
| Authorized Official Name and Position | Cheryl A Presley (DIRECTOR SIU STUDENT HEALTH CENTER) |
| Authorized Official Contact | 6184534485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois University 374 East Grand Avenue Mail Code 674d Carbondale IL 62901 Ph: (618) 453-3311 | Southern Illinois University 374 East Grand Avenue Mail Code 674d Carbondale IL 62901 Ph: (618) 453-3311 |
| NPI Number | 1023151461 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023151461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
The Carbondale Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-457-5200 Fax: 618-549-5128 | |
Community Health & Emergency Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Cedar Ct, Carbondale, IL 62901 Phone: 618-351-1213 Fax: 618-351-1905 | |
Southern Illinois Gi Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Diann Ln, Carbondale, IL 62901 Phone: 618-549-8006 Fax: 618-549-8434 | |
Carbondale Community High Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 S Giant City Rd, Carbondale, IL 62902 Phone: 618-457-4722 Fax: 618-457-3353 | |
Southern Illinois Medical Services, Nfp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Brown's Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 W Jackson St, Carbondale, IL 62901 Phone: 618-351-9559 |