Provider First Line Business Practice Location Address:
SIUE HEALTH SERVICE
Provider Second Line Business Practice Location Address:
STUDENT SUCCESS CENTER
Provider Business Practice Location Address City Name:
EDWARDSVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62026-1055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-650-2848
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2007