Individual
CASSIDY BOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 S NEIL ST, CHAMPAIGN, IL 61820-7266
(217) 693-4400
Mailing address
2109 S NEIL ST, CHAMPAIGN, IL 61820-7266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026208
IL
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us