Marlito P. Favila in Normal - Internal Medicine
Marlito P. Favila - NPI 1114945912
Marlito P. Favila is a Internal Medicine in Normal, Illinois. Marlito P. Favila practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Marlito P. Favila is 1114945912. The last update date is 2007-07-08.
Marlito P. Favila's current location address is 1437 E College Ave, Normal, Illinois. You can contact this provider via phone number 3094544411 and fax number 3094546951. The mailing address for Marlito P. Favila is 1437 E College Ave, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlito P. Favila |
|---|---|
| Address | 1437 E College Ave, Normal, Illinois |
| Phone Number | 3094544411 |
| Fax Number | 3094546951 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114945912 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1437 E College Ave |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617612085 |
| Phone Number | 3094544411 |
| Fax Number | 3094546951 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5715395 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marlito P. Favila?
The Marlito P. Favila has been issued the NPI (National Provider Identifier) 1114945912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Marlito P. Favila is geographically located?
The Marlito P. Favila is physically situated at the following location: 1437 E College Ave, Normal, IL, 617612085.
What is the Marlito P. Favila's specialty and taxonomy code?
The Marlito P. Favila's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114945912 to Marlito P. Favila?
The Marlito P. Favila received its 1114945912 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.
As of what date was the information pertaining to Marlito P. Favila, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marlito P. Favila, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.