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FAVIA PRIMARY CARE, SC
NPI 1669964300
Family Medicine in Algonquin, IL

Active since May 30, 2018CLIA Certified · 2 labs
1340 RYAN PARKWAY, ALGONQUIN, IL 60102(815) 276-0150 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2024, Mar 5, 2019 (2 updates tracked since 2019).

About Favia Primary Care, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAVIA PRIMARY CARE, SC (NPI 1669964300) is a healthcare organization registered as a family medicine in Algonquin, Illinois and active in the NPI registry since May 2018. The organization holds 2 active CLIA laboratory certificates and lists Philip Favia, Owner, as its authorized official.

NPPES Registry Identity

NPI1669964300
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAVIA PRIMARY CARE, SC
Location Address1340 RYAN PARKWAYAlgonquin, IL 60102
Mailing AddressPo Box 336Algonquin, IL 60102-0336 · (815) 276-0150
Phone(815) 276-0150
Organization SubpartNo
Authorized OfficialPhilip FaviaOwner · (815) 276-0150
Enumeration DateMay 30, 2018
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1669964300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-111767
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1340 RYAN PARKWAY, Algonquin, IL 60102
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2150364

Favia Primary Care, S C · Algonquin, IL
Active · expires Jun 21, 2028
CLIA Number14D2150364
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorPhilip Favia M D
Laboratory Phone(815) 276-0150
Laboratory LocationFavia Primary Care, S C1340 Ryan Parkway, Algonquin, IL 60102
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2176706

Favia Primary Care · Crystal Lake, IL
Active · expires Dec 19, 2027
CLIA Number14D2176706
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorPhilip Favia M D
Laboratory Phone(815) 276-0150
Laboratory LocationFavia Primary Care241 E Commerce Dr - Ste 102, Crystal Lake, IL 60014
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Favia Primary Care, Sc's NPI number?

The NPI number for Favia Primary Care, Sc is 1669964300. It was assigned to this organization in the NPPES registry on May 30, 2018.

Where is Favia Primary Care, Sc located?

Favia Primary Care, Sc is located at 1340 Ryan Parkway, Algonquin, IL 60102. The listed phone number is (815) 276-0150.

What is Favia Primary Care, Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Favia Primary Care, Sc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Favia Primary Care, Sc was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.