Search › Illinois › 363A00000X
Alan Favela, PA-C
NPI 1518587922 · on the registry since 2020 · sole proprietor
Practice
- Address
- 333 Madison St
Joliet, IL 60435 - Phone
- (815) 741-7660
- Organisation at this address
- Legacy Medical Group
Neurocyst Incorporated
Cepamerica Illinois Llp
Fmk Medical Corporation
Prairie Emergency Services, ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 97
Additional practice sites
- 3303 W 26th St, Chicago, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-16
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