Individual
ANDREW NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25 N BROADWAY ST, DES PLAINES, IL 60016-2335
(847) 477-0770
Mailing address
459 PORTWINE RD, RIVERWOODS, IL 60015-3762
(847) 477-0770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032673
IL
Other
Enumeration date
04/30/2020
Last updated
01/31/2024
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