Individual
DAVID J NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3319 MEADOW TRL W, DEKALB, IL 60115-5327
(815) 758-3636
Mailing address
3319 MEADOW TRL W, DEKALB, IL 60115-5327
(815) 758-3636
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
209-04039
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
IL
Other
Enumeration date
08/10/2005
Last updated
07/09/2007
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