Individual
DIANE LYNN NOVATNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
201 JUNIOR AVE, GRAYSLAKE, IL 60030-2326
(847) 223-6454
Mailing address
201 JUNIOR AVE, GRAYSLAKE, IL 60030-2326
(847) 223-6454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
07/21/2007
Last updated
07/21/2007
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