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Individual
BOSS POVIENG
Active
Individual
BOSS POVIENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036.168979
IL
Other
Enumeration date
05/15/2020
Last updated
06/26/2024
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