MEDICARE: HEARTLAND NAPRAPATHIC CENTER LTD

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	208100000X	Physical Medicine & Rehabilitation Physician
2	172P00000X	Naprapath

General Provider Information

NPI Number	:	1790637635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND NAPRAPATHIC CENTER LTD

Provider Business Mailing Address
First Line	:	4211 WESTGATE DR
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62711-7059
Country	:	US
Telephone Number	:	217-726-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	4211 WESTGATE DR
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62711-7059
Country	:	US
Telephone Number	:	217-726-5400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANN BOVA
Credential	:	DN
Telephone Number	:	217-726-5400

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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