Individual
DR. GARY JAMES NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 ELMWOOD AVE, WILMETTE, IL 60091-1435
(847) 251-3770
(847) 251-3771
Mailing address
1329 ROYAL OAK LN, GLENVIEW, IL 60025-3160
(847) 644-2346
(847) 998-1042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-058228
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031600515
BCBS
IL
Enumeration date
01/16/2007
Last updated
09/23/2015
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