BOSS POVIENG

CHICAGO, IL
NPI1316569064
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: IL  036.168979)
Enumeration Date2020-05-15
Last Update Date2024-06-26
Business Address
BOSS POVIENG MD
1620 W HARRISON ST STE 403
CHICAGO, IL 60612-3801
Phone number: 312-942-7100
Mailing Address
BOSS POVIENG MD
1620 W HARRISON ST STE 403
CHICAGO, IL 60612-3801
Phone number: