Individual
MOLLY NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
659 S HAWTHORNE AVE, ELMHURST, IL 60126-4242
(630) 220-1693
Mailing address
659 S HAWTHORNE AVE, ELMHURST, IL 60126-4242
(630) 220-1693
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1082476
IL
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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