Individual
MARY FRAN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-4189
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-4189
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007376
IL
Other
Enumeration date
12/22/2008
Last updated
04/28/2021
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