Favia, Philip
Favia, Philip is an sole proprietor health care provider with primary practice located at 1340 Ryan Pkwy , Algonquin IL 60102-4527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Favia, Philip can be contacted via phone (815) 276-0150.Contact Information
Primary practice address
1340 Ryan Pkwy
Algonquin IL 60102-4527
Phone: (815) 276-0150
Fax: (877) 461-6742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036111767 | Illinois |
Profile Details
| NPI number | 1295729564 |
|---|---|
| LBN Legal business name | Favia, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Dec 7th, 2021 - about 5 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 | 1295729564 | NPPES |
| Other | P02206979 | PTAN |
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