MEDICARE: BOOHER HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1215620380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOOHER HEALTH LLC

Provider Business Mailing Address
First Line	:	3512 PENNSYLVANIA AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-3728
Country	:	US
Telephone Number	:	217-617-5652
Fax Number	:

Provider Business Practice Location Address
First Line	:	2724 SOUTHFIELD DR
Second Line	:
City	:	QUINCY
State	:	IL
Zip	:	62301-6530
Country	:	US
Telephone Number	:	217-617-5652
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LAURA GEORGEOFF
Credential	:
Telephone Number	:	618-467-6707

Provider Enumeration Date	:	06/02/2023
Last Update Date	:	06/02/2023

Similar Medicare Providers

1235769647 — KRISTEN KAY JUNKER DPT
Practice Location Address:

2724 SOUTHFIELD DR
QUINCY, IL
62301-6530

Practice Phone: 618-606-3251
Practice Fax:

1063000719 — BRENDA COLLEEN BLICKHAN AGNP-C
Practice Location Address:

1005 BROADWAY ST
QUINCY, IL
62301-2834

Practice Phone: 217-223-1200
Practice Fax:

1104358951 — ELIZABETH TERWELP PA-C
Practice Location Address:

1025 MAINE ST
QUINCY, IL
62301-4096

Practice Phone: 217-222-6550
Practice Fax: 217-277-2253

1841039385 — MR. GAJAHNAN KUGAKUMARAN M.D.
Practice Location Address:

612 N 11TH ST
QUINCY, IL
62301-2662

Practice Phone: 217-224-9484
Practice Fax: 217-224-7950

1013114453 — CLARK OLAVI ANDELIN MD
Practice Location Address:

1005 BROADWAY ST
QUINCY, IL
62301-2834

Practice Phone: 217-223-8400
Practice Fax:

1376424325 — GIANFRANCO DONGO
Practice Location Address:

1005 BROADWAY ST
QUINCY, IL
62301-2834

Practice Phone: 217-223-1200
Practice Fax:

Directions to “BOOHER HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.