MARIO BOVINO MD
NPI 1861064131
Psychiatry & Neurology - Neurology in Chicago, IL

Q: What is Mario Bovino's NPI number?

The NPI number for Mario Bovino is 1861064131. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Q: What is Mario Bovino's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Mario Bovino was last updated on May 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2021PECOS Enrolled

5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-6222 Get Directions Write a Review

NPPES record last updated: May 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2022, Jul 15, 2021 (2 updates tracked since 2021).

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About Mario Bovino Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO BOVINO MD (NPI 1861064131) is an individual neurology provider in Chicago, Illinois, licensed in Illinois (125.078044) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1861064131

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMARIO BOVINOCredential: MD

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address150 Harvester Dr., Ste 300Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-6222

Sole ProprietorNo

Enumeration DateJuly 15, 2021

Last NPPES UpdateMay 14, 20222 updates tracked since enumeration

NPPES CertifiedMay 14, 2022

✔ NPI 1861064131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IL · 125.078044

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125.078044 (IL)

5841 S MARYLAND AVE, Chicago, IL 60637

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Secondary Practice Location 1

Location 14646 N Marine DrChicago, IL 60640-5759 · Phone (773) 878-8700

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario Bovino Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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