EMMANUEL A FAVILA DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****32

ACTIVE

N

DO

EMMANUEL

A

FAVILA

EMMANUEL A FAVILA DO

04/04/2016

09/02/2023

07/31/2026

CHICAGO

IL

60657

COOK

PRACTITIONER

II III IV V

N

09/02/2023