OrganizationActive
Eastern Illinois University Health Service
NPI 1104030790 · Student Health Clinic/Center · Charleston, IL
Provider details
- NPI number
- 1104030790
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sheila Baker, Medical Director(217) 581-3015
- License
- E9988478107 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Lincoln Ave
Eastern Illinois University
Charleston, IL 61920-3011
Phone: (217) 581-3015
Fax: (217) 581-3899
Street-level locationGet directions
Mailing address
600 Lincoln Ave
Charleston, IL 61920-3011
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.