Organization
HOPE-FACS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARSENIO S FAVOR MD (PRESIDENT)
(219) 345-5611
Entity
Organization
Contact information
Practice address
1471 E 84TH PL, MERRILLVILLE, IN 46410-6451
(219) 345-5611
(219) 345-5140
Mailing address
1471 E 84TH PL, MERRILLVILLE, IN 46410-6451
(219) 345-5611
(219) 345-5140
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01035167A
IN
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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