Organization
TAMMY E. NOVAK, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ELLEN NOVAK MD (PRESIDENT)
(847) 657-0445
Entity
Organization
Contact information
Practice address
2634 PATRIOT BLVD, STE C, GLENVIEW, IL 60026-8024
(847) 657-0445
(847) 657-0485
Mailing address
2634 PATRIOT BLVD, STE C, GLENVIEW, IL 60026-8024
(847) 657-0445
(847) 657-0485
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632581
BCBS
IL
Enumeration date
08/20/2006
Last updated
12/22/2008
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