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Individual
JULIE R. FAVIA
Active
Individual
JULIE R. FAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036111396
IL
207V00000X
Obstetrics & Gynecology Physician
55998
KY
207V00000X
Obstetrics & Gynecology Physician
DR.0067263
CO
207V00000X
Obstetrics & Gynecology Physician
T4359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111396 2
—
IL
01
—
1154418697
BCBSWI
WI
01
—
FAVIAJUL
MERCYCARE INSURANCE
WI
Enumeration date
10/06/2006
Last updated
12/09/2021
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