IndividualActive
Daniel Boeder
NPI 1669039822 · Child & Adolescent Psychiatry Physician · Springfield, IL
Provider details
- NPI number
- 1669039822
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 125.073980 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
319 E Madison St Fl 3
Springfield, IL 62701-1035
Phone: (217) 545-6900
Fax: (217) 585-6893
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19642
Springfield, IL 62794-9642
Additional practice locations (1)
- 927 Broadway StQuincy, IL 62301-2719Phone: (217) 224-4453
Registry dates
- Enumerated
- 2019-05-23
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.