Individual
EMMA NOVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
991 N SHORE DR, CRYSTAL LAKE, IL 60014-5243
(815) 354-5081
Mailing address
991 N SHORE DR, CRYSTAL LAKE, IL 60014-5243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2390175
MA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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