Bryn Favakeh

NPI 1164155289 · on the registry since 2022 · sole proprietor

Practice

Address: 2530 Ridge Ave
Evanston, IL 60201
Phone: (847) 869-0892
Organisation at this address: Saltco Llc
Howard N. Tushman, M.D., S.C.
North Suburban Pediatrics, Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 54

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois