DANIEL THEODORE BOEDER

SPRINGFIELD, IL
NPI1669039822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IL  125.073980)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  125.073980)
Enumeration Date2019-05-23
Last Update Date2024-06-25
Business Address
Dr. DANIEL THEODORE BOEDER
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701-1035
Phone number: 217-545-6900
Mailing Address
Dr. DANIEL THEODORE BOEDER
PO BOX 19642
SPRINGFIELD, IL 62794-9642
Phone number: 217-656-8229