Provider Demographics
NPI:1912327008
Name:BABU, FAVIN SIVADAS (MD)
Entity type:Individual
Prefix:
First Name:FAVIN
Middle Name:SIVADAS
Last Name:BABU
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:4309 W MEDICAL CENTER DR STE B301
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-8439
Mailing Address - Country:US
Mailing Address - Phone:847-802-7400
Mailing Address - Fax:815-759-4375
Practice Address - Street 1:5841 S MARYLAND AVE # MC5040
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1443
Practice Address - Country:US
Practice Address - Phone:773-702-2500
Practice Address - Fax:773-834-9114
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2024-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036143543208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)