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Individual

MARIE NOWAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 288-5531
(815) 285-5558
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 288-5531
(815) 285-5558

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01041237A
IN
207P00000X
Emergency Medicine Physician
Primary
036076143
IL
207P00000X
Emergency Medicine Physician
49347
KY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
26965
WV

Other

Enumeration date
12/19/2006
Last updated
02/13/2025
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