Individual
DR. ROBIN LYNN FAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3245 GROVE AVE, SUITE 202, BERWYN, IL 60402-3474
(708) 484-0621
(708) 484-0250
Mailing address
3245 GROVE AVE, SUITE 202, BERWYN, IL 60402-3474
(708) 484-0621
(708) 484-0250
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036119384
IL
208600000X
Surgery Physician
35.094070
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200960160
—
IN
05
—
2980985
—
OH
05
—
7100087020
—
KY
Enumeration date
08/11/2008
Last updated
03/02/2011
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