Michael Bova M D S C in Springfield - Internal Medicine
Michael Bova M D S C - NPI 1063538809
Michael Bova M D S C is a Internal Medicine in Springfield, Illinois. Michael Bova M D S C practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Michael Bova M D S C is 1063538809. The last update date is 2007-11-01.
Michael Bova M D S C's current location address is 2524 Farragut Dr, Springfield, Illinois. You can contact this provider via phone number 2177269346. The mailing address for Michael Bova M D S C is 2524 Farragut Dr, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael Bova M D S C |
|---|---|
| Address | 2524 Farragut Dr, Springfield, Illinois |
| Phone Number | 2177269346 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bova P Michael |
| Credentials | MD |
| Telephone Number | 2177269346 |
NPI Number Detail
| NPI Number | 1063538809 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
| Address | 2524 Farragut Dr |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627048400 |
| Phone Number | 2177269346 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36075342 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 88405 | IL | HEALTH ALLIANCE | |
| 166621 | IL | HEALTHLINK NETWORK | |
| 36075342 | IL | -- | |
| 8432082 | IL | BLUECROSS BLUESHIELD | |
| DA5603 | IL | RAILROAD MEDICARE | |
| 3003 | NEIC SITE ID,NSF BAO-7 |
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What is the unique 10-digit identifier code issued to Michael Bova M D S C by the Centers for Medicare & Medicaid Services?
The Michael Bova M D S C has been assigned the NPI (National Provider Identifier) 1063538809 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael Bova M D S C?
The Michael Bova M D S C is situated at 2524 Farragut Dr, in the city of Springfield, state of IL, with the zip code 627048400.
What is the Michael Bova M D S C's specialty and taxonomy code?
The Michael Bova M D S C's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When was the Michael Bova M D S C's 1063538809 issued?
The Michael Bova M D S C's 1063538809 was issued on 2007-03-22.
When was the information pertaining to Michael Bova M D S C most recently updated or revised?
The details related to Michael Bova M D S C, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-01.