Individual provider · Type 1 NPI
Kody Gibson Bolk, MD
Otolaryngic Allergy Physician · Springfield, IL
NPI number
1669976023
Active
Practice location
720 N Bond St
Springfield, IL 62702-4952
Fax (217) 545-6544
Mailing address
PO Box 19639
Springfield, IL 62794-9639
Other practice locations
- 550 Peachtree St NE Ste 1135, Atlanta, GA 30308-2234 · (404) 778-3381
- 533 Bolivar St Ste 566, New Orleans, LA 70112-1349 · (504) 568-4786
- 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 · (225) 765-6565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036.170483 (IL) |
| Otolaryngic Allergy Physician Primary | 207YX0602X | 95460 (GA) |
| Otolaryngology Physician | 207Y00000X | 95460 (GA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Otolaryngic Allergy Physician: An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
35 other providers at this address
- Siu Physicians & Surgeons, IncNeurological Surgery Physician Springfield, IL NPI 1790705507
- Siu Physicians & Surgeons, IncCustomized Equipment (DME) Springfield, IL NPI 1942849096
- Amanda Joann McDannald, DNPFamily Nurse Practitioner Springfield, IL NPI 1750926077
- Aneesha J. Penn, MDOtolaryngology Physician Springfield, IL NPI 1942901996
- Ari Maxwell Stone, MDOtolaryngology Physician Springfield, IL NPI 1417342726
- Arun Sharma, MDOtolaryngology Physician Springfield, IL NPI 1336304856
- Ashley Little, FNP-BCNurse Practitioner Springfield, IL NPI 1033864772
- Breanne L. Larson, FNP-BCFamily Nurse Practitioner Springfield, IL NPI 1982205514
- Brendan Curran Stack Jr., MDPlastic Surgery within the Head & Neck (Otolaryngology) Physician Springfield, IL NPI 1437165164
- Brette Camerann Harding, MDOtolaryngology Physician Springfield, IL NPI 1346760105
- Cindy Margaret Moore, MDOtolaryngology Physician Springfield, IL NPI 1184086274
- Dana Lynn Crosby, MDOtolaryngology Physician Springfield, IL NPI 1144483900
About NPI 1669976023
Kody Gibson Bolk, MD's National Provider Identifier is 1669976023, issued on Mar 21, 2018. The primary taxonomy on file is Otolaryngic Allergy Physician (207YX0602X), and the practice location is in Springfield, IL. The record was last updated on Feb 12, 2026.