NPI

Daniel Bommelje

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
D.O.
Type
Individual
Enumeration date
2006-08-21
Last updated
2024-11-01

Specialties

Licenses

License IL
036-093246

Location

Practice location
1000 Health Center Dr
City
Mattoon IL
Postal code
61938-9261
Phone
(217) 258-2551

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Mattoon, IL. 921 records in the public file.

Removal request

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