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Iven W Boehm, PA-C

Physician Assistant in Neoga, IL. Individual provider (NPI-1).

NPI number1790732097
StatusActive
Last updated in NPPESNov 1, 2024

Details

NPI
1790732097
Entity type
Individual (NPI-1)
Name
Iven W Boehm
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
May 30, 2006
Certification date
Nov 1, 2024
Last updated
Nov 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant085001655ILYes

Practice location

650 Oak Ave
Neoga, IL 62447-1502

Phone 217-895-2222

Mailing address

Po Box 372
Mattoon, IL 61938-0372

Other practice locations

1201 Wooddell Way Ste B
Mattoon, IL 61938-1014

Phone 217-238-3000 · Fax 217-238-3008

1303 W Evergreen Ave Ste 100
Effingham, IL 62401-1638

Phone 217-540-6123 · Fax 217-347-4969

2040 Lincoln Ave Ste 100
Charleston, IL 61920-3197

Phone 217-345-2030 · Fax 217-345-2045

1100 Tuscola Blvd
Tuscola, IL 61953-2065

Phone 217-253-4764 · Fax 217-253-4886

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