Individual
MARIO BOVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-6222
Mailing address
150 HARVESTER DR., STE 300, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.078044
IL
2084N0400X
Neurology Physician
Primary
125.078044
IL
Other
Enumeration date
07/15/2021
Last updated
05/14/2022
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