Healthcare Provider Details

I. General information

NPI: 1790637635
Provider Name (Legal Business Name): HEARTLAND NAPRAPATHIC CENTER LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4211 WESTGATE DR
SPRINGFIELD IL
62711-7059
US

IV. Provider business mailing address

4211 WESTGATE DR
SPRINGFIELD IL
62711-7059
US

V. Phone/Fax

Practice location:
  • Phone: 217-726-5400
  • Fax:
Mailing address:
  • Phone: 217-726-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANN BOVA
Title or Position: OWNER
Credential: DN
Phone: 217-726-5400