| Michael Bova M D S C | |
|
2524 Farragut Dr Suite C Springfield IL 62704-8400 | |
| (217) 726-9346 | |
| Not Available |
| Full Name | Michael Bova M D S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 2524 Farragut Dr, Springfield, Illinois |
| Authorized Official Name and Position | Michael P Bova (PRESIDENT) |
| Authorized Official Contact | 2177269346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Bova M D S C 2524 Farragut Dr Suite C Springfield IL 62704-8400 Ph: (217) 726-9346 | Michael Bova M D S C 2524 Farragut Dr Suite C Springfield IL 62704-8400 Ph: (217) 726-9346 |
| NPI Number | 1063538809 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063538809 | NPI | - | NPPES |
| 088405 | Other | IL | HEALTH ALLIANCE |
| 166621 | Other | IL | HEALTHLINK NETWORK |
| 36075342 | Medicaid | IL | |
| 08432082 | Other | IL | BLUECROSS BLUESHIELD |
| DA5603 | Other | IL | RAILROAD MEDICARE |
| 3003 | Other | NEIC SITE ID,NSF BAO-7 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36075342 (Illinois) | Primary |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2833 S Grand Ave E, Springfield, IL 62703 Phone: 221-753-5310 Fax: 217-789-2069 | |
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North Dirksen Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 | |
Siu Physicians & Surgeons, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, D235, Springfield, IL 62781 Phone: 217-545-7578 Fax: 217-545-1884 | |
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