Individual
DR. LYNNE NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 S ILLINOIS ST, BELLEVILLE, IL 62220-2133
(618) 235-1703
(618) 235-3130
Mailing address
305 S ILLINOIS ST, BELLEVILLE, IL 62220-2133
(618) 235-1703
(618) 235-3130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036108140
IL
Other
Enumeration date
06/28/2005
Last updated
10/14/2008
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