Favia Primary Care, SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-111767 Issued in IL

Legal business name

FAVIA PRIMARY CARE, SC

Practice address

1340 Ryan Parkway
Algonquin, IL 60102

Phone

(815) 276-0150

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

Philip Favia, MDNPI 1295729564

Title

Owner

Phone

(815) 276-0150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Favia, MD

  • Family Medicine Physician
  • Algonquin, IL
  • NPI 1295729564
  Medicare reassignment Care Compare group NPD Authorized official
• Erin Huggins, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Algonquin, IL
  • NPI 1447907696
  Medicare reassignment Care Compare group NPD
• Renee Griffin Buchanan, PA C

  • Physician Assistant
  • Fox River Grove, IL
  • NPI 1245226802
  Medicare reassignment Care Compare group
• Kelley Meisner

  • Physician Assistant
  • Algonquin, IL
  • NPI 1184295032
  Medicare reassignment Care Compare group
• Haydee Cantu-Manley, M.D.

  • Family Medicine Physician
  • Crystal Lake, IL
  • NPI 1043638042
  Medicare reassignment NPD
• Tania Diaz

  • Physician Assistant
  • Crystal Lake, IL
  • NPI 1366070955
  Medicare reassignment
• Susan Collazo, APRN, CNP

  • Nurse Practitioner
  • Winfield, IL
  • NPI 1043422819
  NPD
• Magdalena Daoud

  • Nurse Practitioner
  • Arlington Heights, IL
  • NPI 1205280674
  NPD
• Julie A Grandolfo, FNP-BC

  • Adult Health Nurse Practitioner
  • Algonquin, IL
  • NPI 1093312977
  NPD
• Madhu Gundavaram, M.D.

  • Internal Medicine Physician
  • Algonquin, IL
  • NPI 1699796920
  NPD
• Mary Christine Johansen, APRN, CNP

  • Nurse Practitioner
  • McHenry, IL
  • NPI 1689208928
  NPD
• Dennis F. Kellar, MD

  • Pulmonary Disease Physician
  • Algonquin, IL
  • NPI 1679683866
  NPD

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1669964300",
    "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 PARKWAY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "815-276-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVIA PRIMARY CARE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "FAVIA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-276-0150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-111767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exigency Education LLC
• Eye Boutique, LLC
• Eye Care at Home P.C.
• Family Wellness Care
• Christopher Lang Faubel, M.D.
• Philip Favia, MD
• Kendall Anne Feeney
• Fernandes Chiropractic LTD.
• Pamela A Fernandes, DC
• Dante Jack Fiandaca, DDS

• Family Medicine Physician in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.