Dr Marlito P Favila, MD | |
1437 E College Ave, Normal, IL 61761-2085 | |
(309) 454-4411 | |
(309) 454-6951 |
Full Name | Dr Marlito P Favila |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1437 E College Ave, Normal, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114945912 | NPI | - | NPPES |
5715395 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
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Dr Marlito P Favila, MD Po Box 2451, Bloomington, IL 61702-2451 Ph: (309) 268-2172 | Dr Marlito P Favila, MD 1437 E College Ave, Normal, IL 61761-2085 Ph: (309) 454-4411 |
Dr. Ali Raza Ghani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 4500, Normal, IL 61761 Phone: 309-556-8300 | |
Dr. Thanom Temiyasathit, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Beth L Tumilty, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Piotr Pawel Krolikowski, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 Fax: 309-268-2536 | |
Dr. Chae Chu, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave, #2200, Normal, IL 61761 Phone: 309-662-9631 Fax: 309-662-4706 | |
Mr. Thomas Deweert, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave, #4800, Normal, IL 61761 Phone: 309-454-5900 Fax: 309-454-2820 | |
Dr. Dory C Jarzabkowski, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 |