Organization
OSCAR A. NOVICK, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET S. MALLORY (ASST. OFFICE MANAGER)
(847) 825-7171
Entity
Organization
Contact information
Practice address
111 S WASHINGTON AVE, SUITE 201, PARK RIDGE, IL 60068-4203
(847) 825-7171
Mailing address
111 S WASHINGTON AVE, PARK RIDGE, IL 60068-4203
(847) 825-7171
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
036040048
IL
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
036040048
IL
208000000X
Pediatrics Physician
Primary
036040048
IL
2080P0201X
Pediatric Allergy/Immunology Physician
036040048
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568461796
NPI
IL
Enumeration date
06/30/2008
Last updated
06/30/2008
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