Individual
JEROME NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6123 GREEN BAY RD STE 100, KENOSHA, WI 53142-2939
(262) 880-1034
(888) 972-3708
Mailing address
12121 45TH AVE, PLEASANT PRAIRIE, WI 53158-3901
(262) 880-1034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9800-024
WI
2251X0800X
Orthopedic Physical Therapist
070-013596
IL
Other
Enumeration date
07/07/2006
Last updated
08/19/2025
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