Individual provider · Type 1 NPI

Daniel Theodore Boeder

Child & Adolescent Psychiatry Physician · Quincy, IL

NPI number 1669039822 Active

Practice location

927 Broadway St
Quincy, IL 62301-2719

Fax (217) 224-9383

Mailing address

1005 Broadway St
Quincy, IL 62301-2834

Other practice locations

  • 319 E Madison St Fl 3, Springfield, IL 62701-1035 · (217) 545-6900
  • 100 Medical Dr, Hannibal, MO 63401-6877 · (573) 221-5250

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician 2084P0804X2025030304 (MO)
Psychiatry Physician 2084P0800X036168173 (IL)
Child & Adolescent Psychiatry Physician Primary 2084P0804X036168173 (IL)
Psychiatry Physician 2084P0800X2025030304 (MO)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1669039822

Daniel Theodore Boeder's National Provider Identifier is 1669039822, issued on May 23, 2019. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Quincy, IL. The record was last updated on Aug 27, 2026.