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Organization
EASTERN ILLINOIS UNIVERSITY HEALTH SERVICE
Active
Organization
EASTERN ILLINOIS UNIVERSITY HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA D BAKER MD (MEDICAL DIRECTOR)
(217) 581-3015
Entity
Organization
Contact information
Practice address
600 LINCOLN AVE, EASTERN ILLINOIS UNIVERSITY, CHARLESTON, IL 61920-3011
(217) 581-3015
(217) 581-3899
Mailing address
600 LINCOLN AVE, EASTERN ILLINOIS UNIVERSITY, CHARLESTON, IL 61920-3011
(217) 581-3015
(217) 581-3899
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
E9988478107
IL
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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