IndividualActive
Bailey Koefoed
NPI 1073304622 · Community Health Worker · Springfield, IL
Provider details
- NPI number
- 1073304622
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
520 N 4th St
Springfield, IL 62702-5238
Phone: (217) 545-8000
Approximate (ZIP-level) locationGet directions
Mailing address
520 N 4th St
Springfield, IL 62702-5238
Registry dates
- Enumerated
- 2025-05-14
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.