Search › Illinois › 207YX0602X
Kody Bolk, MD
NPI 1669976023 · on the registry since 2018
Practice
- Address
- 720 N Bond St
Springfield, IL 62702 - Phone
- (217) 545-8000
- Fax
- (217) 545-6544
- Organisation at this address
- Siu Physicians & Surgeons, Inc
Siu Physicians & Surgeons, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Additional practice sites
- 5000 Hennessy Blvd, Baton Rouge, LA
- 533 Bolivar St Ste 566, New Orleans, LA
- 550 Peachtree St Ne Ste 1135, Atlanta, GA
Registry record
- Primary taxonomy
- 207YX0602X
207YX0602X
- Also registered as
- 207Y00000X
207Y00000X
390200000X - Licence states on file
- IL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois