IndividualActive
Kody Bolk, MD
NPI 1669976023 · Otolaryngic Allergy Physician · Springfield, IL
Provider details
- NPI number
- 1669976023
- Entity type
- Individual
- Primary specialty
- Otolaryngic Allergy PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036.170483 (IL)
Practice location
720 N Bond St
Springfield, IL 62702-4952
Phone: (217) 545-8000
Fax: (217) 545-6544
Mailing address
Po Box 19639
Springfield, IL 62794-9639
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.