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1316569064
BOSS POVIENG
CHICAGO, IL
NPI
1316569064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: IL 036.168979)
Enumeration Date
2020-05-15
Last Update Date
2024-06-26
Business Address
BOSS POVIENG MD
1620 W HARRISON ST STE 403
CHICAGO, IL 60612-3801
Phone number: 312-942-7100
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Mailing Address
BOSS POVIENG MD
1620 W HARRISON ST STE 403
CHICAGO, IL 60612-3801
Phone number:
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