Individual
GINA FAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
13360 BOND CIR, LEMONT, IL 60439-8952
(708) 743-2594
Mailing address
13360 BOND CIR, LEMONT, IL 60439-8952
(708) 743-2594
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
146010073
IL
235Z00000X
Speech-Language Pathologist
Primary
146010073
IL
Other
Enumeration date
07/30/2010
Last updated
11/12/2025
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