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Mario Favela, MSW
NPI 1235432071 · on the registry since 2010
Practice
- Address
- 820 S Damen Ave
Chicago, IL 60612 - Phone
- (312) 569-8462
- Organisation at this address
- Chicago Vamc
Chicago Vamc
Chicago Vamc
Jesse Brown Va
Jesse Brown VaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 639
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Male
- Record last updated
- 2010-12-17
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