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Organization
MICHAEL BOVA M D S C
Active
Organization
MICHAEL BOVA M D S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P BOVA MD (PRESIDENT)
(217) 726-9346
Entity
Organization
Contact information
Practice address
2524 FARRAGUT DR, SUITE C, SPRINGFIELD, IL 62704-8400
(217) 726-9346
Mailing address
2524 FARRAGUT DR, SUITE C, SPRINGFIELD, IL 62704-8400
(217) 726-9346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36075342
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432082
BLUECROSS BLUESHIELD
IL
01
—
088405
HEALTH ALLIANCE
IL
01
—
166621
HEALTHLINK NETWORK
IL
01
—
3003
NEIC SITE ID,NSF BAO-7
—
05
—
36075342
—
IL
01
—
DA5603
RAILROAD MEDICARE
IL
Enumeration date
03/22/2007
Last updated
11/01/2007
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