Individual
CHRISTIAN JAMES NOVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
10913 SYLVAN VISTA DR, LEBANON, IL 62254-2334
(618) 973-9181
Mailing address
10913 SYLVAN VISTA DR, LEBANON, IL 62254-2334
(618) 973-9181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004501
IL
Other
Enumeration date
11/06/2017
Last updated
07/30/2020
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