Favor, Robin Lynn

Favor, Robin Lynn is an individual health care provider with primary practice located at 3245 Grove Ave Suite 202, Berwyn IL 60402-3474. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Favor, Robin Lynn can be contacted via phone (708) 484-0621.

Contact Information

Primary practice address
3245 Grove Ave Suite 202 Berwyn IL 60402-3474
Phone: (708) 484-0621
Fax: (708) 484-0250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036119384 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.094070 Ohio

Profile Details

NPI number 1912153909
LBN Legal business name Favor, Robin Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2008
Last updated Mar 2nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912153909 NPPES
Indiana MEDICAID 200960160
Indiana MEDICAID 2980985
Indiana MEDICAID 7100087020

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