Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Provena Service Corporation

Family Medicine Physician in Danville, IL · enumerated 2007 · authorized official Daniel Boland, Financial Reporting Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134314602

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Registry record

Entity type Organization (Type 2)

Legal business name Provena Service Corporation

Other name <Unavail>

Parent organization Provena Service Corporation

Practice address 405 Sheridan St, Danville, IL, 61832

Phone (217) 431-6330

Enumeration date Sep 7, 2007

Last updated in NPPES Apr 20, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Daniel Boland

Title Financial Reporting Specialist

Phone (815) 806-3111

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Provena Service Corporation located?

The practice location on file with NPPES is in Danville, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.