Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Daniel Theodore Boeder

Individual provider Psychiatry Physician · NPI 1669039822

Dr. Daniel Theodore Boeder is a Psychiatry in Springfield, Illinois. Graduated from Southern Illinois University School of Medicine in 2019, 7 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
7
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

319 E Madison St Fl 3
Springfield, IL 62701-1035
Phone: (217) 545-6900
Fax: (217) 585-6893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 927 Broadway St, Quincy, IL 62301-2719 — (217) 224-4453

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 125.073980 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 125.073980 (IL)

Record details

NPI number1669039822
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing addressPo Box 19642, Springfield, IL 62794-9642

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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