NPIMap

Individual provider Active NPI

Philip Favia, MD

  • Family Medicine Physician
  • Algonquin, IL
National Provider Identifier
1295729564
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036111767 Issued in IL
Practice address
1340 Ryan Pkwy
Algonquin, IL 60102-4527
Phone
(815) 276-0150
Fax
(877) 461-6742
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036111767 IL Primary

Addresses

Primary practice location

1340 Ryan Pkwy
Algonquin, IL 60102-4527

Mailing address

PO Box 336
Algonquin, IL 60102-0336
Phone (815) 276-0150

Other identifiers 1

IdentifierTypeStateIssuer
P02206979OtherPTAN

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Algonquin
Direct Messaging Address pfavia206424@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022001180 IL Practitioner - Family Practice 6305807249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Favia Primary Care SCGroup PAC ID 4284983974, 4 clinicians

Practice addresses (Care Compare)

1340 Ryan Pkwy
Algonquin, IL 60102-4527
Phone (815) 276-0150

Hospital & facility affiliations

  • American Family Home Health Services LLC Home health agency, Huntley, IL, CCN 148370
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036111767ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pulmonary and Sleep Medicine SC CurrentSince Sep 1, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 1, 2004 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 1, 2004 Accepting new patients
Favia Primary Care, SC Family Medicine CurrentSince Apr 5, 2018 Accepting new patients
Marion Physician Billing LLC Past Accepting new patients
Marion General Hospital Foundation, Inc. Past Accepting new patients
Global Care S.C. PastSince Sep 14, 2025 Accepting new patients

Locations

1345 Ryan Pkwy
Algonquin, IL 60102
Phone (847) 531-5911

2284 County Line Rd
Algonquin, IL 60102
Phone (847) 304-3640

1340 Ryan Pkwy
Algonquin, IL 60102
Phone (815) 276-0150

2575 W Algonquin Rd
Algonquin, IL 60102
Phone (847) 854-5533

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

29373 Network Pl
Chicago, IL 60673

284 Memorial Ct
Ste B
Crystal Lake, IL 60014
Phone (815) 459-8240

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECGEBD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1295729564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601020336",
            "telephone_number": "815-276-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 RYAN PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024527",
            "telephone_number": "815-276-0150",
            "fax_number": "877-461-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVIA",
        "first_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036111767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P02206979",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Algonquin",
            "affiliation": "N",
            "address_1": "1340 Ryan Pkwy",
            "city": "Algonquin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601024527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfavia206424@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1340 Ryan Pkwy",
            "city": "Algonquin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601024527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1340 Ryan Pkwy",
            "city": "Algonquin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601024527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.