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Individual

DR. EMANUEL FAVELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036126938
IL
207Q00000X
Family Medicine Physician
125055097
IL
207RI0200X
Infectious Disease Physician
Primary
036126938
IL

Other

Enumeration date
07/21/2010
Last updated
06/13/2025
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