Dovale, Facundo Benito
Dovale, Facundo Benito is an individual health care provider with primary practice located at 20660 Caton Farm Rd Unit F, Crest Hill IL 60403-1201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dovale, Facundo Benito can be contacted via phone (815) 714-5430.Contact Information
Primary practice address
20660 Caton Farm Rd Unit F
Crest Hill IL 60403-1201
Phone: (815) 714-5430
Fax: (815) 714-5369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036085934 | Illinois |
Profile Details
| NPI number | 1689798696 |
|---|---|
| LBN Legal business name | Dovale, Facundo Benito |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Apr 14th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689798696 | NPPES |
| Illinois | Other | 1635426 | BCBS |
| Illinois | MEDICAID | 036085934 2 | BCBS |
| Illinois | Other | 1620404 | BCBS |
| Illinois | Other | 01633171 | BCBS |
| Illinois | MEDICAID | 036085934 3 | BCBS |
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