Marlito P Favila (NPI# 1114945912, PAC ID# 2163497231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114945912 |
| PAC ID by PECOS | 2163497231 |
| Professional Enrollment ID | I20040901000197 |
| Full Name | Marlito P Favila |
| Organization Legal Name | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Address |
3024 E Empire Suite 3f Bloomington IL 61704-5402 |
| Phone Number | 3095567337 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 7810800935 |
| Number of Group Practice Members | 1681 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140127 | ADVOCATE BROMENN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3024 E Empire, Suite 3f, Bloomington, IL 61704-5402 | 3095567337 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Organization Legal Name | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Physicians | 1766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Renee Jorgenson | Internal Medicine | Advocate Health and Hospitals Corporation | 4025 N Western Ave, Chicago, IL 60618-3726 |
| Philip C Gutsell | Family Medicine | Advocate Health and Hospitals Corporation | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 |
| Jaclyn Catanese | Nurse Practitioner | Advocate Health and Hospitals Corporation | 1425 N Randall Rd, Elgin, IL 60123-2300 |
| Michael John Duchaj | Physical Therapy | Advocate Health and Hospitals Corporation | 13900 Quality Dr, Huntley, IL 60142-8098 |
| Andrea Pawlak | Nurse Practitioner | Advocate Health and Hospitals Corporation | 4740 W 95th St, Oak Lawn, IL 60453-2530 |
| Mandy Fila | Registered Dietitian Or Nutrition Professional | Advocate Health and Hospitals Corporation | 2210 W 95th St, Chicago, IL 60643-1002 |
| Ilia Rosa Sumoza | Hematology/oncology | Advocate Health and Hospitals Corporation | 2622 83rd St, Darien, IL 60561-1661 |
| Lara K Nicol | Family Medicine | Advocate Health and Hospitals Corporation | 2511 N Kedzie Blvd, Chicago, IL 60647-2603 |
| Julieta Lasala | Family Medicine | Advocate Health and Hospitals Corporation | 100 W 162nd St, Advocate Medical Group South Holland, South Holland, IL 60473-2003 |
| Kelly L Perisin | Nurse Practitioner | Advocate Health and Hospitals Corporation | 910 N Rand Rd, Lake Zurich, IL 60047-3201 |
| Street Address |
3024 E EMPIRE SUITE 3F |
| City | BLOOMINGTON |
| State | IL |
| Zip | 61704-5402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah C Swanson | Clinical Social Worker | Elliott Counseling Services LLC | 209 S Prospect, Suite 1, Bloomington, IL 61704 |
| Cheri Miller | Psychologist, Clinical | Advocate Health and Hospitals Corporation | 303 N Hershey, Suite 2c, Bloomington, IL 61704 |
| Dennis M Brtva | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Christopher James Wetzler | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Ashley Elizabeth Foster | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Preston Langdon Smith | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Kristine C Winkler | Nurse Practitioner | Encounter Telehealth LLC | 11 Harbor Pointe Ct, Bloomington, IL 61704-1409 |
| Robert J Hermann | Chiropractic | 2415 E Washington St F, Bloomington, IL 61704-1609 | |
| Robert D Brown | Chiropractic | 2422 E Washington St, Suite 202, Bloomington, IL 61704-1611 | |
| Julie R Dostal | Registered Dietitian Or Nutrition Professional | 2412 E Washington St, Suite 1b, Bloomington, IL 61704-1613 | |
| Find all physicians in zip 61704 | |||
| City | BLOOMINGTON |
| Zip Code | 61704 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BLOOMINGTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Marlito P Favila.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.