DANIEL BOMMELJE

MATTOON, IL
NPI1245346691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036-093246)
Enumeration Date2006-08-21
Last Update Date2024-11-01
Business Address
DANIEL BOMMELJE D.O.
1000 HEALTH CENTER DR
MATTOON, IL 61938-9261
Phone number: 217-258-2551
Mailing Address
DANIEL BOMMELJE D.O.
PO BOX 372
MATTOON, IL 61938-0372
Phone number: