Physician Compare National (NPI:1750389268)

HEALTHCARE PROVIDER: GEORGE K BOVIS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1750389268
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274657358
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100825001137
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BOVIS
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Middle Name	KOSTAS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BONAVENTURE MEDICAL FOUNDATION LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7517863178
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	187
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	908 N ELM ST
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	HINSDALE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	605213637
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140223
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVOCATE LUTHERAN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140122
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HINSDALE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140258
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ALEXIAN BROTHERS MEDICAL CENTER 1
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140065
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ADVENTIST LA GRANGE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y