OrganizationActive
Board of Trustees of Southern Illinois University
NPI 1922350099 · Primary Care Clinic/Center · Springfield, IL
Provider details
- NPI number
- 1922350099
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janet Albers, Director(217) 757-8100
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5220 S 6th Street Rd
Suite 1200
Springfield, IL 62703-5735
Phone: (217) 545-8000
Fax: (217) 747-1351
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19670
Springfield, IL 62794-9670
Other names (DBA / former)
- Doing business as
- Noll Medical Pavilion Clinic
Registry dates
- Enumerated
- 2012-10-12
- Last updated
- 2013-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.