John K. Favale

General Dentistry · Evanston, IL

Primary taxonomy

1223G0001X

Enumerated

2006-09-29

Practice location

Evanston, IL

Last NPPES update

2007-07-08

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.