Individual
MICHAEL FAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16650 HARLEM AVE STE 6, TINLEY PARK, IL 60477-1847
(708) 802-9355
Mailing address
4172 CART PATH CT, TERRE HAUTE, IN 47802-8159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02006300A
IN
207Q00000X
Family Medicine Physician
Primary
036.151804
IL
Other
Enumeration date
03/21/2017
Last updated
09/07/2022
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