Organization
FAVIA PRIMARY CARE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP FAVIA MD (OWNER)
(815) 276-0150
Entity
Organization
Contact information
Practice address
1340 RYAN PARKWAY, ALGONQUIN, IL 60102
(815) 276-0150
Mailing address
PO BOX 336, ALGONQUIN, IL 60102-0336
(815) 276-0150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-111767
IL
Other
Enumeration date
05/30/2018
Last updated
04/08/2024
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