Thomas Christian Favale JR., DVM, LSW

NPI #1720640154 in Wheaton, Illinois

Provider Information

NPI Number: 1720640154
Entity Type: Individual
Name: Thomas Christian Favale JR., DVM, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: DVM, LSW
Enumeration Date: Jul 5, 2019
Last Updated: Jul 16, 2019

Practice Location

Address: 111 N COUNTY FARM RD
City: Wheaton
State: Illinois
ZIP Code: 60187-3977
Phone: (630) 682-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Social Worker	104100000X	Primary

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