Individual
FAVIN SIVADAS BABU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC5040, CHICAGO, IL 60637-1443
(773) 702-2500
(773) 834-9114
Mailing address
4309 W MEDICAL CENTER DR STE B301, MCHENRY, IL 60050-8439
(847) 802-7400
(815) 759-4375
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036143543
IL
Other
Enumeration date
04/16/2014
Last updated
12/04/2024
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