# JEROME NOVAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861424202
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 9800-024 | WI | Yes |
| 2251X0800X | Orthopedic Physical Therapist | 070-013596 | IL | — |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 08/19/2025