Organization
GARY NOVAK MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY J NOVAK MD (PHYSICIAN)
(847) 644-2346
Entity
Organization
Contact information
Practice address
1329 ROYAL OAK LN, GLENVIEW, IL 60025-3160
(847) 644-2346
(847) 998-1042
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
036058228
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660010
MEDICARE GROUP NUMBER
IL
Enumeration date
03/19/2008
Last updated
03/12/2015
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