Individual
ELIZABETH ANN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
4637 N ASHLAND AVE # 1, CHICAGO, IL 60640-4630
(630) 270-9845
Mailing address
2411 N KEDZIE BLVD # 1, CHICAGO, IL 60647-2632
(630) 270-9845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146015092
IL
235Z00000X
Speech-Language Pathologist
242004813
IL
Other
Enumeration date
08/27/2018
Last updated
12/14/2019
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