Individual
JENNIFER J NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1510 ELM ST, SPRING GROVE, IL 60081-8001
(815) 355-0267
Mailing address
1510 ELM ST, SPRING GROVE, IL 60081-8001
(815) 355-0267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-00104
IL
Other
Enumeration date
03/09/2007
Last updated
08/05/2014
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